prostheses used in 2012
TRANSCRIPT
Prostheses used in hip, knee, ankle,
elbow and shoulder replacement
procedures 2012
201310th Annual Report
ISSN 1745-1450 (Online)
HIPS
KNEES
ANKLES
ELBOWS
SHOULDERS
PROMs
National Joint Registry for England, Wales and Northern IrelandSurgical data to 31 December 2012
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Contents1 Prostheses used in hip procedures 2012 4
1.1 Femoral head material and size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41.2 Brand sales of conventional total hips and resurfacing prostheses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51.3 Combinations of cups and stems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201.4 Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
2 Prostheses used in knee procedures 2012 66
2.1 Prostheses entered into the NJR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 2.2 Usage of fixed versus mobile bearing tibial inserts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
3 Prostheses used in ankle procedures 2012 71
4 Prostheses used in elbow procedures 2012 72
5 Prostheses used in shoulder procedures 2012 73
6 Cement use 2012 76
7 Bone substitute use 2012 80
Tables
Table 1 Frequency of material chosen for femoral heads in procedures performed in 2012. . . . . . . . . . . . . . . . . . . . . . . 4 Table 2 Frequency of femoral head sizes for procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Table 3(a)� Cemented cup brands for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Table 3(b)� Cemented cup brands for revision hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Table 4(a)� Cementless cup brands for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . 8Table 4(b)� Cementless cup brands for revision hip procedures performed during 2012. . . . . . . . . . . . . . . . . . . . . . . . . 10Table 5(a)� Cemented stem brands for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . 12Table 5(b)� Cemented stem brands for revision hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . 14Table 6(a)� Cementless stem brands for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 15Table 6(b)� Cementless stem brands for revision hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 18Table 7 Brands of resurfacing head for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 20Table 8 Brands of resurfacing cup used with a conventional stem for primary hip procedures performed during 2012 . 20 Table 9(a)� Cup-stem brand combinations for primary hip procedures performed during 2012 . . . . . . . . . . . . . . . . . . . 21Table 9(b)� Cup-stem brand combinations for revision hip procedures performed during 2012. . . . . . . . . . . . . . . . . . . . 48 Table 10(a)� Brands for total condylar knee primary procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 66Table 10(b)� Brands for total condylar knee revision procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 68Table 11 Brands for primary and revision unicondylar knee replacement procedures performed during 2012 . . . . . . . . . . 69Table 12 Brands for primary and revision patello-femoral joint replacement procedures performed during 2012 . . . . . . . . . . 69Table 13 Fixed and rotating hinged knee brands for primary and revision knee procedures performed during 2012 . . . 70Table 14 Tibial insert type for primary and revision knee procedures performed during 2012 . . . . . . . . . . . . . . . . . . . . 70
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Table 15(a)� Brands for primary ankle procedures performed in 2012. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71Table 15(b)� Brands for revision ankle procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71Table 16 Humeral elbow brands for primary and revision procedures performed in 2012. . . . . . . . . . . . . . . . . . . . . . . . 72Table 17 Elbow radial head brands for primary and revision procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . 72Table 18(a)� Shoulder brands for primary shoulder resurfacing procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . 73Table 18(b)� Shoulder brands for revision shoulder resurfacing procedures performed in 2012 . . . . . . . . . . . . . . . . . . . 73Table 19(a)� Shoulder humeral stem brands for primary shoulder procedures performed in 2012 . . . . . . . . . . . . . . . . . . 74Table 19(b)� Shoulder humeral stem brands for revision shoulder procedures performed in 2012 . . . . . . . . . . . . . . . . . 75Table 20 Type of cement used in hip, knee, ankle, elbow and shoulder replacement procedures performed in 2012 . . 76Table 21(a)� Brands of cement used in hip procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77Table 21(b)� Brands of cement used in knee procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78Table 21(c)� Brands of cement used in ankle procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78Table 21(d)� Brands of cement used in elbow procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79Table 21(e)� Brands of cement used in shoulder procedures performed in 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79Table 22(a)� Brands of synthetic bone substitute used in hip procedures during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . 80Table 22(b)� Brands of synthetic bone substitute used in knee procedures during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 81Table 22(c)� Brands of synthetic bone substitute used in ankle procedures during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 81Table 22(d)� Brands of synthetic bone substitute used in elbow procedures during 2012 . . . . . . . . . . . . . . . . . . . . . . . . 81Table 22(e)� Brands of synthetic bone substitute used in shoulder procedures during 2012 . . . . . . . . . . . . . . . . . . . . . . 81
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This section reports the numbers of prostheses implanted between 1 January and 31 December 2012 and entered into the NJR by February 2013.
The procedure counts in this section of the report may vary to the procedure counts in Part Two of the Annual Report. This section counts only those procedures where the implants being described have been used. Therefore, if a procedure has been submitted with missing implant information this will cause numbers to be different from Part Two.
1.1 Femoral head material and sizeTable 1 shows the relative use of different modular heads. There has been a 2% decrease in the use of metallic heads and a 2% increase in the use of ceramic heads compared with 2011. Since 2008 there has been a 12% decrease in the use of metallic heads.
1 Prostheses used in hip procedures 2012
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Table 1 Frequency of material chosen for femoral heads in procedures performed in 2012.
MaterialNumber of
procedures
Number of modular femoral
heads used %85,814 83,725
Ceramic 32,411 39%
Metal 51,314 61%
Table 2 shows the frequency of the different femoral head sizes. The main change compared with 2011 is a decrease in the use of very large heads from 38mm
and above. This is a reversal of the trend from 2009 to 2011.
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Table 3(a) Cemented cup brands for primary hip procedures performed during 2012.
Manufacturer BrandNumber of
procedures % ODEP rating 26,950
Stryker Contemporary 9,061 34% 5A
DePuy Elite Plus Ogee 3,024 11% 10A
Stryker Exeter Rimfit 2,998 11% Unclassified
DePuy Marathon 2,658 10% 3A
DePuy Elite Plus Cemented Cup 1,860 7% 10A
Stryker Exeter Duration 1,168 4% 10A
Zimmer ZCA 1,062 4% 10A
Smith & Nephew Opera 875 3% 7A
Zimmer Low Profile Muller 578 2% Unclassified
Biomet Stanmore-Arcom Cup 530 2% 10A
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1.2 Brand sales of conventional total hips and resurfacing prostheses
Tables 3 to 8 show the most frequently used brands in England and Wales during 2012, as assessed by
their rate of entry into the NJR database. The level of assessment according to ODEP criteria is given in the final column. The tables have been split into two to show brand usage in primary procedures and revision procedures separately.
Table 2 Frequency of femoral head sizes for procedures performed in 2012.
Ceramic acetabulum articulation
Ceramic acetabulum articulation
Metal acetabulum articulation
Metal acetabulum articulation
Polyethylene acetabulum articulation
Polyethylene acetabulum articulation
Number of procedures
with complete articulation
% of Procedures
Head Size (mm)
Ceramic Head Metal Head
Ceramic Head Metal Head
Ceramic Head Metal Head
18,284 77 69 1,369 13,630 48,933 82,362
22.25 <1% 0% 0% 1% 2% 2% 1,230 1%
26 0% 0% 0% 0% <1% 2% 945 1%
28 7% 68% 19% 10% 34% 47% 28,970 35%
30 0% 0% 0% 0% 0% <1% 41 <1%
32 28% 6% 0% 1% 35% 32% 25,417 31%
34 0% 0% 0% 0% 0% <1% 1 <1%
36 58% 26% 78% 7% 28% 16% 22,610 27%
38 0% 0% 0% <1% 0% <1% 11 <1%
40 6% 0% 3% <1% <1% 1% 1,709 2%
42 0% 0% 0% 1% 0% <1% 41 <1%
44 <1% 0% 0% 2% <1% <1% 289 <1%
46 0% 0% 0% 7% 0% <1% 109 <1%
48 <1% 0% 0% 13% 0% <1% 214 <1%
50 0% 0% 0% 24% 0% 0% 332 <1%
52 0% 0% 0% 17% 0% 0% 234 <1%
54+ 0% 0% 0% 15% 0% 0% 209 <1%
Total 100% 100% 100% 100% 100% 100% 100%
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Manufacturer BrandNumber of
procedures % ODEP ratingDePuy Charnley Ogee 521 2% 10A
DePuy Charnley Cemented Cup 417 2% 10A
DePuy Wroblewski Golf Ball 279 1% 5B
Mathys Orthopaedics Ltd CCB Mathys 249 <1% 10A
Smith & Nephew Reflection Cemented 209 <1% 10A
Zimmer Zimmer Cemented Cup 192 <1% 10A
Corin Cenator Cemented Cup 185 <1% 7A
Biomet Apollo 167 <1% 5A
Biomet SHP Cup 167 <1% 5A
B Braun / Aesculap Chirulen 141 <1% Unclassified
Sheffield Medical Products Limited
Aeon Cemented Cup 134 <1% Pre-Entry
Joint Replacement Instrumentation Ltd
JRI Cemented Cup 96 <1% 7A
Waldemar Link Interplanta 69 <1% Unclassified
Orthodynamics Novae Stick 60 <1% 3A
Zimmer Metasul-Muller 54 <1% Unclassified
Biomet Exceed ABT Cemented 50 <1% Pre-Entry
Waldemar Link Snap Fit 20 <1% Unclassified
Biomet CMK Cemented Cup 19 <1% 5A
Waldemar Link Link Flange Cup 18 <1% Unclassified
Biomet Avantage Cemented Cup 17 <1% Unclassified
Implants International Edinburgh Cup 16 <1% 3A
Smith & Nephew Polarcup Cemented 12 <1% Pre-Entry
Implants International CCB 9 <1% Unclassified
Biomet Freedom 8 <1% Unclassified
Zimmer Centerpulse Muller 8 <1% Unclassified
Stryker Restoration Gap2 7 <1% Unclassified
Wright Medical UK Ltd A Class 7 <1% Unclassified
Biomet Scan Cemented Cup 1 <1% Unclassified
Corin Hi-Nek Cemented Cup 1 <1% Unclassified
DePuy Ultima Cemented Cup 1 <1% Discontinued
Serf Dedienne sante Novae Stick 1 <1% 10B
Stryker Gap Ring 1 <1% Unclassified
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Table 3(a) continued
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Table 3(b) Cemented cup brands for revision hip procedures performed during 2012.
Manufacturer BrandNumber of
procedures %1,752
Stryker Exeter Rimfit 377 22%
Stryker Contemporary 321 18%
DePuy Marathon 256 15%
DePuy Elite Plus Ogee 143 8%
DePuy Elite Plus Cemented Cup 112 6%
Orthodynamics Novae Stick 98 6%
Biomet Avantage Cemented Cup 58 3%
Stryker Restoration Gap2 40 2%
Smith & Nephew Opera 37 2%
Biomet Stanmore-Arcom Cup 36 2%
DePuy Wroblewski Golf Ball 34 2%
DePuy Charnley Cemented Cup 31 2%
Stryker Exeter Duration 28 2%
Centerpulse Low Profile Muller 26 1%
Corin Cenator Cemented Cup 24 1%
Zimmer ZCA 21 1%
B Braun / Aesculap Chirulen 17 <1%
Joint Replacement Instrumentation Ltd JRI Cemented Cup 13 <1%
Waldemar Link Snap Fit 13 <1%
DePuy Charnley Ogee 12 <1%
Zimmer Zimmer Cemented Cup 11 <1%
Smith & Nephew Reflection Cemented 8 <1%
Smith & Nephew Polarcup Cemented 7 <1%
Biomet Exceed ABT Cemented 4 <1%
Biomet Freedom 3 <1%
Biomet SHP Cup 3 <1%
Waldemar Link Interplanta 3 <1%
Biomet Apollo 2 <1%
Implants International Edinburgh Cup 2 <1%
Mathys Orthopaedics Ltd CCB Mathys 2 <1%
Serf Dedienne sante Novae Stick 2 <1%
Sheffield Medical Products Limited Aeon Cemented Cup 2 <1%
Zimmer Metasul-Muller 2 <1%
Corin CTI Cemented Cup 1 <1%
Corin Hi-Nek Cemented Cup 1 <1%
DePuy Elite Plus Flanged 1 <1%
Stryker Gap Ring 1 <1%
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Manufacturer BrandNumber of
procedures % ODEP rating47,631
DePuy Pinnacle 15,545 33% 10C
Stryker Trident 8,773 18% 7A
Biomet Exceed ABT 3,735 8% 5A
Zimmer Trilogy 3,295 7% 7A
Joint Replacement Instrumentation Ltd
CSF Plus 3,209 7% 3A
Corin Trinity 1,872 4% 3A
Smith & Nephew R3 Cementless 1,850 4% 3A
Zimmer Continuum 1,530 3% Pre-Entry
Joint Replacement Instrumentation Ltd
CSF 872 2% 10A
Wright Medical UK Ltd Procotyl 797 2% Pre-Entry
Lima Delta TT 607 1% Unclassified
Zimmer Trabecular Metal Cementless Cup 499 1% 5A
Zimmer Allofit 484 1% 10A
B Braun / Aesculap Plasmacup Cementless Cup 482 1% 7A
Stryker Tritanium 419 <1% 3A
DePuy DeltaMotion 380 <1% 3A
Zimmer FM IT 377 <1% Unclassified
Medacta UK Ltd Versafit 373 <1% 3A
Symbios SA April 340 <1% Unclassified
Zimmer Trilogy IT 303 <1% Unclassified
Smith & Nephew EP-Fit Plus 288 <1% 5A
Mathys Orthopaedics Ltd RM Mathys 217 <1% 10A
Biomet Exceed 149 <1% 3A
FH Orthopaedics Atlas IIIp 120 <1% 10A
Lima Delta PF 99 <1% 3A
Stryker ABG II Cementless Cup 93 <1% 7A
Smith & Nephew Reflection Cementless 90 <1% 7A
Orthodynamics Novae 80 <1% 5A
Biomet Avantage 77 <1% 7B
Active Implants Tribofit 76 <1% Unclassified
Zimmer CLS Cementless Cup 74 <1% 10A
Biomet Mallory-Head Cementless Cup 60 <1% 10A
Biomet Regenerex Ringloc+ 55 <1% Unclassified
Mathys Orthopaedics Ltd seleXys PC 54 <1% Pre-Entry
Smith & Nephew EPF-Plus 50 <1% 3A
Stryker Restoration ADM Cup 49 <1% Unclassified
Joint Replacement Instrumentation Ltd
Furlong Threaded 41 <1% 10A
Lima Delta One TT 35 <1% Unclassified
Table 4(a) Cementless cup brands for primary hip procedures performed during 2012.
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Manufacturer BrandNumber of
procedures % ODEP ratingWaldemar Link Beta Cup 24 <1% Unclassified
Exactech (UK)� Ltd Novation 23 <1% Unclassified
Smith & Nephew Bicon-Plus 23 <1% 10A
DePuy Gyros 19 <1% Unclassified
Amplitude Saturne 17 <1% Unacceptable
DePuy Duraloc Cementless Cup 17 <1% 10A
Zimmer Maxera 17 <1% Unclassified
Smith & Nephew Polarcup Cementless 9 <1% 5A
Stryker Secure Fit Cementless Cup 8 <1%Not ODEP
Rated Product
Zimmer Trabecular Metal Natural Cup 7 <1% 5A
Exactech (UK)� Ltd Acumatch Cup 6 <1% Unclassified
Zimmer Fitmore 4 <1% 7B
Biomet Regenerex Revision 2 <1%Not ODEP
Rated Product
Corin DC-Fit 2 <1% Unclassified
Serf Dedienne sante Sunfit 2 <1% Unclassified
DePuy J-Loc 1 <1% Unclassified
Lima Delta Revision TT 1 <1%Not ODEP
Rated Product
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Table 4(a) continued
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Table 4(b) Cementless cup brands for revision hip procedures performed during 2012.
Manufacturer BrandNumber of
procedures %5,494
Zimmer Trabecular Metal Cementless Cup 1,397 25%
DePuy Pinnacle 847 15%
Stryker Tritanium 554 10%
Stryker Trident 455 8%
Lima Delta One TT 421 8%
Lima Delta TT 357 6%
Zimmer Continuum 321 6%
Biomet Regenerex Ringloc+ 184 3%
Joint Replacement Instrumentation Ltd CSF Plus 161 3%
Zimmer Trilogy 140 3%
Smith & Nephew R3 Cementless 108 2%
Biomet Exceed ABT 100 2%
Corin Trinity 62 1%
Wright Medical UK Ltd Procotyl 42 <1%
Lima Delta Revision TT 37 <1%
B Braun / Aesculap Plasmacup Cementless Cup 32 <1%
Biomet Avantage 32 <1%
Orthodynamics Novae 31 <1%
Mathys Orthopaedics Ltd RM Mathys 27 <1%
Amplitude Saturne 24 <1%
Zimmer Trilogy IT 17 <1%
Joint Replacement Instrumentation Ltd CSF 16 <1%
Biomet Mallory-Head Cementless Cup 15 <1%
Zimmer FM IT 11 <1%
Stryker Restoration ADM Cup 10 <1%
Zimmer Trabecular Metal Natural Cup 10 <1%
Smith & Nephew Reflection Cementless 9 <1%
Smith & Nephew EP-Fit Plus 8 <1%
DePuy Gyros 7 <1%
Zimmer Allofit 7 <1%
Biomet Regenerex Revision 6 <1%
DePuy DeltaMotion 6 <1%
Medacta UK Ltd Versafit 6 <1%
Stryker Secure Fit Cementless Cup 6 <1%
Exactech (UK)� Ltd Acumatch Cup 4 <1%
Biomet Exceed 3 <1%
Joint Replacement Instrumentation Ltd Furlong Threaded 3 <1%
Symbios SA April 3 <1%
FH Orthopaedics Atlas IIIp 2 <1%
Serf Dedienne sante Sunfit 2 <1%
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Manufacturer BrandNumber of
procedures %Smith & Nephew EPF-Plus 2 <1%
Smith & Nephew Polarcup Cementless 2 <1%
Active Implants Tribofit 1 <1%
Biomet Par-5 1 <1%
Corin Cerafit Cementless Cup 1 <1%
DePuy Duraloc Cementless Cup 1 <1%
Orthodynamics Hilock 1 <1%
Zimmer CLS Cementless Cup 1 <1%
Zimmer Fitmore 1 <1%
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Table 4(b) continued
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Table 5(a) Cemented stem brands for primary hip procedures performed during 2012.
Manufacturer BrandNumber of
procedures % ODEP rating38,381
Stryker Exeter V40 25,161 66% 10A
Zimmer CPT 4,666 12% 10A
DePuy C-Stem AMT Cemented Stem 1,921 5% 3A
DePuy C-Stem Cemented Stem 1,680 4% 10A
DePuy Charnley Cemented Stem 908 2% 10A
Biomet Stanmore Modular Stem 828 2% 10A
Zimmer MS-30 535 1% 10B
Biomet Muller-Biomet 343 <1% 5A
Smith & Nephew CPCS 341 <1% 5A
Corin Taperfit Cemented Stem 308 <1% 10A
Mathys Orthopaedics Ltd CCA Cemented Stem 207 <1% 10A
Zimmer Muller Straight Stem 190 <1% 10A
Sheffield Medical Products Limited
Aeon Cemented Stem 176 <1% Pre-Entry
Waldemar Link SP II Cemented Stem 156 <1% 10A
Biomet Olympia 137 <1% 5A
Biomet Taperloc Cemented Stem 121 <1% 3A
B Braun / Aesculap Excia Cemented 117 <1% Unclassified
DePuy Charnley Modular 82 <1% 7A
Joint Replacement Instrumentation Ltd
Furlong Cemented Stem 75 <1% 10C
Smith & Nephew Spectron 62 <1% 10A
B Braun / Aesculap Centrament 60 <1% 7B
Wright Medical UK Ltd Profemur Cemented Stem 54 <1% Pre-Entry
DePuy Corail Cemented 47 <1% Pre-Entry
Stryker Omnifit Cemented Stem 33 <1% 10A
Zimmer P10 Muller 26 <1% 10A
Biomet CMK Cemented Stem 19 <1% 3A
Biomet Bimetric Cemented (Ti)� 17 <1% 10A
Smith & Nephew CPS Plus 16 <1% 7A
Joint Replacement Instrumentation Ltd
Furlong Cemented Hemiarthroplasty 15 <1% Unclassified
Implants International Edinburgh 14 <1% 3A
Zimmer VerSys Heritage 11 <1% Discontinued
Waldemar Link SP II Cemented Revision 10 <1%Not ODEP
Rated Product
DePuy Summit Cemented Stem 7 <1% 3A
Stryker Exeter 7 <1% 10A
B Braun / Aesculap Trilliance 5 <1% Unclassified
Medacta UK Ltd AMI 5 <1% Pre-Entry
Stryker GMRS 5 <1% Unclassified
Smith & Nephew Echelon Cemented Stem 4 <1% Unclassified
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Manufacturer BrandNumber of
procedures % ODEP ratingStryker Restoration Cemented Stem 3 <1% Unclassified
B Braun / Aesculap Prevision Cemented Stem 2 <1% Unclassified
Stanmore Implants Worldwide
METS Cemented 2 <1%Not ODEP
Rated Product
B Braun / Aesculap Metha Cemented 1 <1% Unclassified
Biomet Bimetric Cemented (CoCr)� 1 <1% 5A
Biomet Stanmore Monobloc Stem 1 <1% 10A
Lima Friendly 1 <1% Unclassified
Orthodynamics Cannulok Cemented Stem 1 <1% Unclassified
Table 5(a) continued
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Table 5(b) Cemented stem brands for revision hip procedures performed during 2012.
Manufacturer BrandNumber of
procedures %
Procedures using femoral
bone graft2,721 121
Stryker Exeter V40 1,751 64% 73
Zimmer CPT 371 14% 10
DePuy C-Stem Cemented Stem 240 9% 19
DePuy C-Stem AMT Cemented Stem 103 4% 6
Biomet Stanmore Modular Stem 33 1% 2
Waldemar Link SP II Cemented Revision 19 <1% 1
Biomet Muller-Biomet 15 <1% 0
Centerpulse MS-30 15 <1% 1
Waldemar Link SP II Cemented Stem 13 <1% 1
DePuy Charnley Cemented Stem 11 <1% 1
DePuy Corail Cemented 11 <1% 1
Stryker GMRS 11 <1% 0
B Braun / Aesculap Excia-Cemented 10 <1% 0
Corin Taperfit Cemented Stem 10 <1% 0
Biomet dyt 9 <1% 0
Stryker Restoration Cemented Stem 9 <1% 0
DePuy Charnley Modular 8 <1% 0
Biomet Bimetric Cemented (CoCr)� 7 <1% 0
DePuy Wroblewski Resection 7 <1% 3
Smith & Nephew CPCS 7 <1% 0
Smith & Nephew Echelon Cemented Stem 6 <1% 0
Smith & Nephew Spectron 6 <1% 0
Zimmer Muller Straight Stem 6 <1% 1
DePuy Elite Plus Cemented Stem 5 <1% 0Stanmore Implants Worldwide METS Cemented 5 <1% 1
B Braun / Aesculap Centrament 4 <1% 0Joint Replacement Instrumentation Ltd Furlong Cemented Stem 4 <1% 0
Wright Medical UK Ltd Profemur Cemented Stem 4 <1% 0Joint Replacement Instrumentation Ltd Furlong Cemented Hemiarthroplasty 3 <1% 1
DePuy Summit Cemented Stem 2 <1% 0
Implants International Edinburgh 2 <1% 0Sheffield Medical Products Limited Aeon Cemented Stem 2 <1% 0
Stryker Omnifit Cemented Stem 2 <1% 0
Zimmer MS-30 2 <1% 0
B Braun / Aesculap Prevision Cemented Stem 1 <1% 0
Biomet Arcos 1 <1% 0
Biomet Bimetric Cemented (Ti)� 1 <1% 0
Endo Plus (UK)� Limited CPS Plus 1 <1% 0
Implantcast GmbH Mutars 1 <1% 0
Mathys Orthopaedics Ltd CCA Cemented Stem 1 <1% 0
Zimmer P10 Muller 1 <1% 0
Zimmer VerSys Heritage 1 <1% 0
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
15www.njrcentre.org.uk
Table 6(a) Cementless stem brands for primary hip procedures performed during 2012.
Manufacturer Brand Number of procedures % ODEP rating
36,430DePuy Corail 16,819 46% 10AJoint Replacement Instrumentation Ltd
Furlong HAC Stem 3,477 10% 10A
Stryker Accolade 3,439 9% 7A
Biomet Taperloc Cementless Stem 3,220 9% 10A
Zimmer M/L Taper Cementless 958 3% 5A
Wright Medical UK Ltd Profemur Cementless Stem 783 2% Pre-Entry
DePuy Trilock BPS 780 2% Pre-Entry
Smith & Nephew Polarstem Cementless 620 2% 5A
Smith & Nephew SL-Plus Cementless Stem 497 1% 10A
Smith & Nephew Anthology 404 1% 3A
Corin miniHip 400 1% 3A
Corin Metafix Stem 393 1% 3A
Zimmer Versys Cementless Stem 385 1% 7A
Smith & Nephew Synergy Cementless Stem 363 1% 7A
Medacta UK Ltd Amis 361 <1% Pre-Entry
B Braun / Aesculap Excia Cementless Stem 349 <1% 7A
Biomet Bimetric Cementless Stem 305 <1% 10AJoint Replacement Instrumentation Ltd
Evolution Cementless 291 <1% Pre-Entry
Zimmer M/L Taper Kinectiv Cementless 275 <1% 5A
Zimmer CLS Cementless Stem 266 <1% 10A
Biomet Taperloc Complete Cementless Stem 233 <1% Pre-Entry
Symbios SA SPS Modular 179 <1% Unclassified
DePuy S-Rom Cementless Stem 176 <1% 10A
DePuy Summit Cementless Stem 138 <1% 7A
Lima H-Max S 134 <1% Unclassified
Stryker ABG II Monolithic Cementless Stem 108 <1% Unclassified
Wright Medical UK Ltd Ancafit Cementless Stem 81 <1% 7A
Symbios SA SPS Ha 80 <1% 10C
Stryker Restoration Cementless Stem 78 <1% Unclassified
Mathys Orthopaedics Ltd Twinsys Cementless Stem 70 <1% 5A
Symbios SA SPS Evolution 55 <1% Unclassified
Lima H-Max M 51 <1% Unclassified
Wright Medical UK Ltd Profemur Preserve 49 <1% Pre-Entry
Stryker Omnifit Cementless Stem 46 <1% 10AJoint Replacement Instrumentation Ltd
Furlong HAC Active Stem 43 <1% 7A
Zimmer Fitmore Stem 41 <1% Unclassified
Mathys Orthopaedics Ltd CBC 37 <1% 3A
Zimmer M/L Taper 36 <1% 5A
B Braun / Aesculap Metha 33 <1% 3A
B Braun / Aesculap Bicontact Cementless Stem 25 <1% 10A
DePuy Silent 24 <1% Pre-Entry
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Manufacturer Brand Number of procedures % ODEP rating
Exactech (UK)� Ltd Novation Element Stem 24 <1% Pre-Entry
Smith & Nephew Birmingham Head Resection Stem 24 <1% Pre-Entry
Stryker Accolade II 22 <1% Unclassified
Zimmer Revitan Cementless Stem 17 <1% Unclassified
DePuy Kar 16 <1% Unclassified
Waldemar Link CFP 16 <1% 5B
Biomet Arcos Cone 12 <1% Unclassified
Orthodynamics Cannulok Cementless Stem 12 <1% Unclassified
Zimmer Zweymuller 12 <1% 10A
DePuy RECLAIM 11 <1%Not ODEP
Rated ProductDePuy Solution Cementless Stem 11 <1% Unclassified
Zimmer ZMR 11 <1% Unclassified
FH Orthopaedics FH Modular 10 <1% Unclassified
Lima Lima Revision Stem 10 <1%Not ODEP
Rated ProductSmith & Nephew Nanos 10 <1% 3AJoint Replacement Instrumentation Ltd
Furlong HAC Revision Stem 9 <1%Not ODEP
Rated ProductSmith & Nephew Profemur Cementless Stem 9 <1% Pre-Entry
DePuy DePuy Proxima 8 <1% Pre-Entry
Wright Medical UK Ltd Profemur Gladiator 7 <1% Pre-Entry
DePuy Reef 6 <1%Not ODEP
Rated ProductLima Modulus 6 <1% 5B
Smith & Nephew Echelon Cementless Stem 6 <1% Unclassified
Smith & Nephew SLR-Plus Cementless Stem 6 <1% Unclassified
Zimmer Trabecular Cementless Stem 6 <1% Pre-Entry
Biomet Mallory-Head Cementless Stem 4 <1% 10A
Symbios SA Harmony 4 <1% Unclassified
Waldemar Link MP Revision 4 <1%Not ODEP
Rated ProductExactech (UK)� Ltd Novation Stem 3 <1% Pre-Entry
Medacta UK Ltd Quadra Cementless 3 <1% 5A
Peter Brehm GmbH Peter Brehm Revision Stem 3 <1%Not ODEP
Rated ProductZimmer Alloclassic Cementless Stem 3 <1% 10A
Biomet Conelock 2 <1% Unclassified
DePuy Corail Revision Stem 2 <1%Not ODEP
Rated ProductJoint Replacement Instrumentation Ltd
Securus 2 <1% Unclassified
Mathys Orthopaedics Ltd Mathys Revision Stem 2 <1%Not ODEP
Rated ProductSmith & Nephew SMF 2 <1% Unacceptable
Waldemar Link MP Neck Cementless Stem 2 <1% Unclassified
Biomet CDH Stem 1 <1% Unclassified
Table 6(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
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Table 6(a) continued
Manufacturer Brand Number of procedures % ODEP rating
Biomet Kent Hip 1 <1% Unclassified
CorinOxford Universal Hip (Corin)� Cementless Stem
1 <1% Unclassified
Corin Panatomic Cementless Stem 1 <1% Unclassified
Corin Trifit Cementless Stem 1 <1% Pre-Entry
Medacta UK Ltd AMI 1 <1% Unclassified
Smith & Nephew Image 1 <1% Unclassified
Stryker ABG I Cementless Stem 1 <1% Discontinued
Stryker ABG II Cementless Stem 1 <1% 10A
Wright Medical UK Ltd Profemur L 1 <1% 5A
Zimmer GMRS Cementless 1 <1% Unclassified
Continued >
18 www.njrcentre.org.uk
Table 6(b) Cementless stem brands for revision hip procedures performed during 2012.
Manufacturer BrandNumber of
procedures %
Procedures using femoral
bone graft2,864 287
Stryker Restoration Cementless Stem 739 26% 77
DePuy Corail 375 13% 15
Zimmer ZMR 186 6% 26
Zimmer Revitan Cementless Stem 142 5% 29
Lima Lima Revision Stem 127 4% 9
Biomet Arcos Cone 104 4% 19
DePuy S-Rom Cementless Stem 82 3% 1
Waldemar Link MP Revision 68 2% 11
Stryker Accolade 67 2% 1
DePuy Kar 66 2% 11
Joint Replacement Instrumentation Ltd
Furlong HAC Stem 65 2% 2
Orthodynamics Cannulok Cementless Stem 61 2% 10
Biomet Taperloc Cementless Stem 58 2% 1
Smith & Nephew Echelon Cementless Stem 51 2% 5
Zimmer M/L Taper Cementless 50 2% 1
DePuy Reef 48 2% 6
Joint Replacement Instrumentation Ltd
Securus 48 2% 11
Wright Medical UK Ltd Profemur Cementless Stem 48 2% 4
DePuy RECLAIM 45 2% 9
DePuy Corail Revision 43 2% 9
DePuy Solution Cementless Stem 36 1% 11
Smith & Nephew Synergy Cementless Stem 34 1% 1
Joint Replacement Instrumentation Ltd
Furlong HAC Revision Stem 29 1% 4
DePuy Trilock BPS 27 <1% 2
Smith & Nephew Anthology 19 <1% 0
Peter Brehm GmbH Peter Brehm Revision Stem 18 <1% 0
Zimmer M/L Taper Kinectiv Cementless 18 <1% 0
Corin Metafix Stem 17 <1% 1
Zimmer Versys Cementless Stem 17 <1% 0
Mathys Orthopaedics Ltd Twinsys Cementless Stem 15 <1% 1
Smith & Nephew Polarstem Cementless 15 <1% 0
Corin miniHip 10 <1% 0
Lima Modulus 10 <1% 2
Biomet Bimetric Cementless Stem 9 <1% 0
Smith & Nephew SLR-Plus Cementless Stem 9 <1% 0
Biomet Taperloc Complete Cementless Stem 7 <1% 0
Smith & Nephew SL-Plus Cementless Stem 7 <1% 1
Zimmer GMRS Cementless 7 <1% 0
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National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
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Manufacturer BrandNumber of
procedures %
Procedures using femoral
bone graftBiomet Conelock 6 <1% 0Joint Replacement Instrumentation Ltd
Evolution Cementless 6 <1% 0
Medacta UK Ltd Amis 6 <1% 1
Zimmer CLS Cementless Stem 6 <1% 0
Biomet Reach 5 <1% 1
Lima H-Max S 5 <1% 2
Smith & Nephew MDF Modular 5 <1% 0
Symbios SA SPS Modular 5 <1% 0
Wright Medical UK Ltd Profemur Preserve 5 <1% 0
B Braun / Aesculap Bicontact Cementless Stem 3 <1% 1
B Braun / Aesculap Excia 3 <1% 1
CorinOxford Universal Hip (Corin)� Cementless Stem
3 <1% 1
Lima H-Max M 3 <1% 0
Wright Medical UK Ltd Profemur L 3 <1% 0
Biomet Kent Hip 2 <1% 0
DePuy LPS 2 <1% 0
DePuy Summit Cementless Stem 2 <1% 0
Medacta UK Ltd Quadra Cementless 2 <1% 0
Smith & Nephew SLR Cementless 2 <1% 0
Symbios SA SPS Evolution 2 <1% 0
Biomet Mallory-Head Cementless Stem 1 <1% 0
Corin C Fit 1 <1% 0
FH Orthopaedics FH Modular 1 <1% 0
Mathys Orthopaedics Ltd Mathys Revision Stem 1 <1% 0
Stryker Omnifit Cementless Stem 1 <1% 0
Waldemar Link CFP 1 <1% 0
Waldemar Link Mega C stem 1 <1% 0
Wright Medical UK Ltd Ancafit Cementless Stem 1 <1% 0
Wright Medical UK Ltd Guardian Cementless Stem 1 <1% 0
Zimmer M/L Taper 1 <1% 0
Zimmer ZMR Cementless Proximal Stem 1 <1% 0
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Table 7 Brands of resurfacing head for primary hip procedures performed during 2012.
Manufacturer BrandNumber of
procedures % ODEP rating1,075
Smith & Nephew BHR Resurfacing Head 679 63% 10A
MATOrtho Limited Adept Resurfacing Head 131 12% 3A
Corin Cormet 2000 Resurfacing Head 106 10% 5A
Biomet Recap Resurfacing Head 51 5% 3A
Zimmer Durom Resurfacing Head 42 4% Pre-Entry
Implantcast GmbH Accis Resurfacing Head 39 4% Pre-Entry
Van Straten Medical Accis Resurfacing Head 16 1% Pre-Entry
Wright Medical UK Ltd Conserve 11 1% 5A
Table 8 provides a summary of procedures where brands of resurfacing acetabular cup were used in combination with a conventional stem and a large
diameter metal-on-metal femoral head. This type of combination has decreased from 2,494 procedures in 2009 to 35 procedures in 2012.
1.3 Combinations of cups and stems
Tables 9(a)� and 9(b)� detail the combinations of cup and stem brands used in primary and revision hip procedures respectively. Tables 9(a)� and 9(b)� also detail which combinations have a different stem and cup manufacturer – a practice known as ‘mixing and matching’. In previous years only conventional cup and stem combinations were listed but this year’s results show conventional cup and resurfacing cup and stem combinations. For 74,419 hip primary replacement procedures in the 2012 data, both the cup and
stem brand were known, and a total of 778 different combinations of cup and stem brands were recorded. The most common cup/stem combination was the Corail stem combined with the Pinnacle cup. Of the 74,419 primary procedures 12,112 (16%)� used ‘mixed and matched’ cup-stem combinations from different suppliers, approximately 1% less than in 2011. For revision hip procedures 521 cup-stem combinations were used. The most common cup/stem combination was the Stryker Exeter V40 stem combined with the Trabecular metal cementless cup from Zimmer.
Manufacturer BrandNumber of
procedures % ODEP rating35
Smith & Nephew BHR Resurfacing Cup 27 77% 10A
Biomet Recap Magnum 6 17% 3A
Implantcast GmbH Accis Resurfacing Cup 1 3% Pre-Entry
Zimmer Durom Resurfacing Cup 1 3% Pre-Entry
Table 8 Brands of resurfacing cup used with a conventional stem for primary hip procedures performed during 2012.
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National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
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Table 9(a) Cup-stem brand combinations for primary hip procedures performed during 2012.
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
74,419
DePuy Pinnacle DePuy Corail 13,032 18% No
Stryker Contemporary Stryker Exeter V40 8,656 12% No
Stryker Trident Stryker Exeter V40 5,094 7% No
Stryker Trident Stryker Accolade 3,176 4% No
Biomet Exceed ABT BiometTaperloc Cementless Stem
2,936 4% No
Stryker Exeter Rimfit Stryker Exeter V40 2,780 4% No
Joint Replacement Instrumentation Ltd
CSF PlusJoint Replacement Instrumentation Ltd
Furlong HAC Stem 2,478 3% No
DePuy Elite Plus Ogee Stryker Exeter V40 1,745 2% Yes
Zimmer Trilogy Zimmer CPT 1,686 2% No
Stryker Exeter Duration Stryker Exeter V40 1,132 2% No
Zimmer Trilogy Stryker Exeter V40 1,056 1% Yes
Zimmer ZCA Zimmer CPT 1,033 1% No
DePuy Marathon DePuy Corail 1,022 1% No
DePuy Elite Plus Cemented Cup Stryker Exeter V40 930 1% Yes
Joint Replacement Instrumentation Ltd
CSFJoint Replacement Instrumentation Ltd
Furlong HAC Stem 806 1% No
DePuy Marathon DePuyC-Stem Cemented Stem
705 <1% No
DePuy Pinnacle DePuyC-Stem AMT Cemented Stem
648 <1% No
DePuy Pinnacle DePuy Trilock BPS 638 <1% No
DePuy Pinnacle Stryker Exeter V40 624 <1% Yes
Smith & Nephew R3 Cementless Smith & NephewPolarstem Cementless
571 <1% No
Zimmer Continuum ZimmerM/L Taper Cementless
560 <1% No
Wright Medical UK Ltd
ProcotylWright Medical UK Ltd
Profemur Cementless Stem
500 <1% No
Biomet Stanmore-Arcom Cup BiometStanmore Modular Stem
447 <1% No
Lima Delta TT DePuy Corail 425 <1% Yes
DePuy Marathon Stryker Exeter V40 421 <1% Yes
DePuy Elite Plus Cemented Cup DePuyC-Stem AMT Cemented Stem
411 <1% No
DePuy Charnley Ogee DePuyCharnley Cemented Stem
406 <1% No
DePuy Marathon DePuyC-Stem AMT Cemented Stem
406 <1% No
Smith & Nephew R3 Cementless Smith & Nephew Anthology 388 <1% No
Corin Trinity Corin Metafix Stem 384 <1% No
Zimmer Continuum Zimmer CPT 374 <1% No
Smith & Nephew Opera Stryker Exeter V40 373 <1% Yes
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Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Corin Trinity Corin miniHip 370 <1% No
Corin Trinity DePuy Corail 364 <1% Yes
DePuy Charnley Cemented Cup DePuyCharnley Cemented Stem
360 <1% No
Medacta UK Ltd Versafit Medacta UK Ltd Amis 360 <1% No
Smith & Nephew R3 Cementless Smith & NephewSynergy Cementless Stem
351 <1% No
DePuy Elite Plus Ogee DePuyC-Stem Cemented Stem
343 <1% No
B Braun / AesculapPlasmacup Cementless Cup
B Braun / Aesculap Excia 338 <1% No
Stryker Tritanium Stryker Exeter V40 326 <1% No
DePuy Elite Plus Ogee Zimmer CPT 307 <1% Yes
DePuy Elite Plus Cemented Cup DePuy Corail 305 <1% No
DePuy Elite Plus Ogee DePuyC-Stem AMT Cemented Stem
284 <1% No
DePuy DeltaMotion DePuy Corail 275 <1% No
Joint Replacement Instrumentation Ltd
CSF PlusJoint Replacement Instrumentation Ltd
Evolution Cementless
271 <1% No
Biomet Exceed ABT BiometBimetric Cementless Stem
262 <1% No
Stryker Trident DePuy Corail 255 <1% Yes
Smith & Nephew EP-Fit Plus Smith & NephewSL-Plus Cementless Stem
243 <1% No
Centerpulse Low Profile Muller Centerpulse MS-30 240 <1% No
DePuy Elite Plus Ogee DePuy Corail 239 <1% No
Zimmer Trilogy IT Zimmer CPT 231 <1% No
Smith & Nephew Opera DePuyC-Stem Cemented Stem
223 <1% Yes
DePuy Wroblewski Golf Ball DePuyC-Stem Cemented Stem
216 <1% No
ZimmerTrabecular Metal Cementless Cup
Zimmer CPT 215 <1% No
Zimmer Trilogy DePuy Corail 214 <1% Yes
Biomet Exceed ABT Stryker Exeter V40 212 <1% Yes
Corin TrinityWright Medical UK Ltd
Profemur Cementless Stem
204 <1% Yes
Stryker Contemporary DePuy Corail 199 <1% Yes
Smith & Nephew R3 Cementless Stryker Exeter V40 189 <1% Yes
Mathys Orthopaedics Ltd
CCB MathysMathys Orthopaedics Ltd
CCA Cemented Stem
187 <1% No
Zimmer Continuum ZimmerM/L Taper Kinectiv Cementless
184 <1% No
Zimmer FM IT ZimmerM/L Taper Cementless
181 <1% No
Joint Replacement Instrumentation Ltd
CSF Plus Stryker Exeter V40 180 <1% Yes
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Table 9(a) continued
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National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
23www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Zimmer Continuum ZimmerVersys Cementless Stem
180 <1% No
Symbios SA April Symbios SA SPS Modular 171 <1% No
Smith & Nephew Opera Smith & Nephew CPCS 164 <1% No
Smith & Nephew R3 Cementless Smith & NephewSL-Plus Cementless Stem
162 <1% No
Biomet Apollo Biomet Muller-Biomet 161 <1% No
Corin Cenator Cemented Cup Stryker Exeter V40 156 <1% Yes
Biomet Exceed ABT BiometTaperloc Complete Cementless Stem
155 <1% No
Centerpulse Low Profile Muller Centerpulse Muller Str Stem 151 <1% No
Corin Trinity Stryker Exeter V40 132 <1% Yes
Sheffield Medical Products Limited
Aeon Cemented CupSheffield Medical Products Limited
Aeon Cemented Stem
132 <1% No
Biomet SHP Cup BiometStanmore Modular Stem
128 <1% No
DePuy Pinnacle DePuyS-Rom Cementless Stem
127 <1% No
Zimmer Trilogy ZimmerCLS Cementless Stem
118 <1% No
Corin Trinity CorinTaperfit Cemented Stem
113 <1% No
ZimmerTrabecular Metal Cementless Cup
DePuy Corail 113 <1% Yes
Wright Medical UK Ltd
Procotyl Stryker Exeter V40 109 <1% Yes
Zimmer Allofit Zimmer CPT 108 <1% No
Stryker Contemporary Zimmer CPT 107 <1% Yes
DePuy Pinnacle Zimmer CPT 102 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Stryker Exeter V40 100 <1% Yes
Zimmer Zimmer Cemented Cup Biomet Muller-Biomet 95 <1% Yes
B Braun / Aesculap Chirulen B Braun / Aesculap Excia-Cemented 93 <1% No
Biomet Exceed ABT BiometTaperloc Cemented Stem
88 <1% No
FH Orthopaedics Atlas IIIp CorinTaperfit Cemented Stem
86 <1% Yes
DePuy Charnley Ogee Stryker Exeter V40 85 <1% Yes
Mathys Orthopaedics Ltd
RM Mathys DePuy Corail 85 <1% Yes
Smith & Nephew R3 Cementless Stryker Accolade 85 <1% Yes
Smith & Nephew Reflection Cemented Stryker Exeter V40 85 <1% Yes
Zimmer Allofit ZimmerM/L Taper Cementless
83 <1% No
Lima Delta PF Lima H-Max S 80 <1% No
Wright Medical UK Ltd
ProcotylWright Medical UK Ltd
Ancafit Cementless Stem
80 <1% No
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Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Zimmer Allofit Zimmer MS-30 80 <1% No
Zimmer Low Profile Muller Biomet Muller-Biomet 77 <1% Yes
Active Implants TribofitJoint Replacement Instrumentation Ltd
Furlong HAC Stem 76 <1% Yes
Stryker Trident StrykerABG II Monolithic Cementless Stem
76 <1% No
Symbios SA April Symbios SA SPS Ha 76 <1% No
Centerpulse Allofit Centerpulse MS-30 75 <1% No
Smith & Nephew Reflection Cemented Smith & Nephew CPCS 75 <1% No
Zimmer CLS Cementless Cup ZimmerCLS Cementless Stem
74 <1% No
Stryker Tritanium Stryker Accolade 73 <1% No
Smith & Nephew Opera DePuyCharnley Cemented Stem
72 <1% Yes
DePuy Elite Plus Cemented Cup BiometStanmore Modular Stem
71 <1% Yes
DePuy Pinnacle DePuyC-Stem Cemented Stem
71 <1% No
DePuy Elite Plus Ogee DePuySummit Cementless Stem
70 <1% No
Smith & Nephew Reflection Cementless Stryker Exeter V40 70 <1% Yes
Biomet Stanmore-Arcom Cup BiometTaperloc Cementless Stem
68 <1% No
Stryker ABG II Cementless Cup Stryker Exeter V40 68 <1% No
Waldemar Link Interplanta Waldemar LinkSP II Cemented Stem
68 <1% No
Biomet Exceed Stryker Exeter V40 66 <1% Yes
DePuy Pinnacle DePuySummit Cementless Stem
65 <1% No
Stryker Exeter Rimfit CorinTaperfit Cemented Stem
64 <1% Yes
Corin Trinity ZimmerM/L Taper Cementless
63 <1% Yes
DePuy Wroblewski Golf Ball DePuyCharnley Cemented Stem
62 <1% No
Biomet Exceed BiometTaperloc Cementless Stem
58 <1% No
Joint Replacement Instrumentation Ltd
CSF Plus DePuy Corail 58 <1% Yes
Joint Replacement Instrumentation Ltd
JRI Cemented CupJoint Replacement Instrumentation Ltd
Furlong Cemented Stem
58 <1% No
Zimmer FM IT Zimmer CPT 58 <1% No
Mathys Orthopaedics Ltd
CCB Mathys DePuy Corail 56 <1% Yes
Zimmer FM IT ZimmerM/L Taper Kinectiv Cementless
56 <1% No
Zimmer FM IT ZimmerVersys Cementless Stem
55 <1% No
Symbios SA April Symbios SA SPS Evolution 54 <1% No
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National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
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Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Zimmer Metasul-Muller Zimmer CPT 54 <1% No
Mathys Orthopaedics Ltd
RM MathysMathys Orthopaedics Ltd
Twinsys Cementless Stem
53 <1% No
DePuy Marathon BiometTaperloc Complete Cementless Stem
52 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus Zimmer CPT 52 <1% Yes
Lima Delta TT Lima H-Max S 52 <1% No
Wright Medical UK Ltd
ProcotylWright Medical UK Ltd
Profemur Cemented Stem
52 <1% No
Corin Trinity Biomet Olympia 51 <1% Yes
Corin Trinity ZimmerVersys Cementless Stem
51 <1% Yes
Stryker Trident StrykerRestoration Cementless Stem
51 <1% No
Zimmer Continuum Biomet Olympia 51 <1% Yes
Zimmer Continuum Stryker Exeter V40 50 <1% Yes
DePuy Elite Plus Cemented Cup DePuy Charnley Modular 49 <1% No
DePuy Pinnacle BiometTaperloc Cementless Stem
49 <1% Yes
Zimmer Allofit ZimmerVersys Cementless Stem
49 <1% No
DePuy DeltaMotion DePuy Trilock BPS 48 <1% No
Stryker Exeter Rimfit Stryker Accolade 46 <1% No
Wright Medical UK Ltd
ProcotylWright Medical UK Ltd
Profemur Preserve 46 <1% No
DePuy DeltaMotion DePuyC-Stem AMT Cemented Stem
44 <1% No
Joint Replacement Instrumentation Ltd
CSF PlusJoint Replacement Instrumentation Ltd
Furlong HAC Active Stem
43 <1% No
Zimmer Trilogy ZimmerM/L Taper Cementless
43 <1% No
Smith & Nephew EPF-Plus Smith & NephewSL-Plus Cementless Stem
42 <1% No
Zimmer TrilogyJoint Replacement Instrumentation Ltd
Furlong HAC Stem 42 <1% Yes
DePuy Elite Plus Cemented Cup DePuyC-Stem Cemented Stem
41 <1% No
Joint Replacement Instrumentation Ltd
Furlong ThreadedJoint Replacement Instrumentation Ltd
Furlong HAC Stem 41 <1% No
Lima Delta TT Stryker Exeter V40 39 <1% Yes
Smith & Nephew R3 Cementless Smith & Nephew CPCS 39 <1% No
Stryker Exeter Rimfit DePuy Corail 39 <1% Yes
Zimmer Allofit Zimmer Fitmore Stem 39 <1% No
Corin Trinity Zimmer CPT 38 <1% Yes
BiometMallory-Head Cementless Cup
BiometBimetric Cementless Stem
37 <1% No
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Table 9(a) continued
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Continued >
26 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Corin Trinity DePuy Trilock BPS 37 <1% Yes
Lima Delta TT Lima H-Max M 37 <1% No
Stryker Trident StrykerOmnifit Cementless Stem
37 <1% No
Mathys Orthopaedics Ltd
seleXys PCMathys Orthopaedics Ltd
CBC 36 <1% No
Zimmer Low Profile Muller Zimmer MS-30 36 <1% No
Zimmer Trilogy ZimmerVersys Cementless Stem
36 <1% No
Zimmer Low Profile Muller Zimmer CPT 35 <1% No
Zimmer Allofit ZimmerCLS Cementless Stem
34 <1% No
Orthodynamics Novae Stryker Exeter V40 33 <1% Yes
Zimmer ContinuumWright Medical UK Ltd
Profemur Cementless Stem
32 <1% Yes
Zimmer Zimmer Cemented Cup Zimmer MS-30 32 <1% No
B Braun / Aesculap Chirulen B Braun / Aesculap Centrament 31 <1% No
B Braun / AesculapPlasmacup Cementless Cup
B Braun / Aesculap Metha 31 <1% No
Smith & Nephew Reflection Cemented Smith & NephewPolarstem Cementless
31 <1% No
Stryker Exeter DurationSheffield Medical Products Limited
Aeon Cemented Stem
31 <1% Yes
DePuy Pinnacle DePuy Corail Cemented 29 <1% No
Orthodynamics Novae Stick Stryker Exeter V40 29 <1% Yes
Zimmer Continuum ZimmerCLS Cementless Stem
29 <1% No
Biomet Avantage DePuyC-Stem AMT Cemented Stem
28 <1% Yes
Biomet Regenerex Ringloc+ BiometTaperloc Cementless Stem
28 <1% No
Mathys Orthopaedics Ltd
RM Mathys Stryker Exeter V40 28 <1% Yes
Zimmer Zimmer Cemented Cup Zimmer Muller Str Stem 28 <1% No
Biomet Exceed ABT BiometStanmore Modular Stem
27 <1% No
Orthodynamics Novae Zimmer CPT 27 <1% Yes
Stryker Contemporary Stryker Accolade 27 <1% No
DePuy Charnley Ogee DePuyC-Stem Cemented Stem
26 <1% No
B Braun / AesculapPlasmacup Cementless Cup
B Braun / AesculapBicontact Cementless Stem
25 <1% No
B Braun / AesculapPlasmacup Cementless Cup
B Braun / Aesculap Centrament 25 <1% No
Biomet Exceed BiometStanmore Modular Stem
25 <1% No
Centerpulse Low Profile Muller Centerpulse P10 Muller 25 <1% No
© N
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Table 9(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
27www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Stryker ABG II Cementless Cup StrykerABG II Monolithic Cementless Stem
25 <1% No
Stryker Restoration ADM Cup Stryker Exeter V40 25 <1% No
Waldemar Link Beta Cup Waldemar LinkSP II Cemented Stem
25 <1% No
Zimmer Continuum Zimmer M/L Taper 25 <1% No
Smith & Nephew BHR Resurfacing Cup Smith & NephewBirmingham Head Resection Stem
24 <1% No
Biomet Exceed ABT Cemented BiometTaperloc Complete Cementless Stem
23 <1% No
DePuy Charnley Cemented Cup Stryker Exeter V40 23 <1% Yes
DePuy Pinnacle DePuy Silent 23 <1% No
Smith & Nephew Bicon-Plus Smith & NephewSL-Plus Cementless Stem
23 <1% No
Stryker Exeter Rimfit StrykerOmnifit Cemented Stem
23 <1% No
B Braun / AesculapPlasmacup Cementless Cup
B Braun / Aesculap Excia-Cemented 22 <1% No
DePuy Pinnacle Smith & Nephew CPCS 22 <1% Yes
Stryker Trident BiometStanmore Modular Stem
22 <1% Yes
Zimmer Trilogy DePuy Charnley Modular 22 <1% Yes
DePuy Charnley Cemented Cup DePuyC-Stem Cemented Stem
21 <1% No
FH Orthopaedics Atlas IIIp Stryker Exeter V40 21 <1% Yes
Mathys Orthopaedics Ltd
RM Mathys Smith & NephewSL-Plus Cementless Stem
21 <1% Yes
Smith & Nephew R3 Cementless Smith & Nephew Spectron 21 <1% No
Stryker Exeter Rimfit Zimmer CPT 21 <1% Yes
Stryker Trident Corin miniHip 21 <1% Yes
Zimmer Trilogy Zimmer MS-30 21 <1% No
Joint Replacement Instrumentation Ltd
CSF Waldemar LinkSP II Cemented Stem
20 <1% Yes
Biomet Avantage BiometTaperloc Cementless Stem
19 <1% No
Biomet CMK Cemented Cup BiometCMK Cemented Stem
19 <1% No
Biomet Exceed ABT Biomet Olympia 19 <1% No
Biomet SHP Cup BiometTaperloc Cemented Stem
19 <1% No
Exactech (UK)� Ltd Novation Exactech (UK)� LtdNovation Element Stem
19 <1% No
Joint Replacement Instrumentation Ltd
CSF Plus DePuyC-Stem AMT Cemented Stem
18 <1% Yes
Lima Delta PF Lima H-Max M 18 <1% No
Biomet Exceed ABT Zimmer CPT 17 <1% Yes
© N
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Table 9(a) continued
Continued > Continued >
28 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
matchJoint Replacement Instrumentation Ltd
CSFJoint Replacement Instrumentation Ltd
Evolution Cementless
17 <1% No
Zimmer Trilogy ITWright Medical UK Ltd
Profemur Cementless Stem
17 <1% Yes
Zimmer Zimmer Cemented Cup CorinTaperfit Cemented Stem
17 <1% Yes
B Braun / AesculapPlasmacup Cementless Cup
DePuy Trilock BPS 16 <1% Yes
Biomet Exceed ABT Cemented BiometStanmore Modular Stem
16 <1% No
Mathys Orthopaedics Ltd
seleXys PCMathys Orthopaedics Ltd
Twinsys Cementless Stem
16 <1% No
Orthodynamics Novae Stick Zimmer CPT 16 <1% Yes
Zimmer Maxera ZimmerM/L Taper Kinectiv Cementless
16 <1% No
Zimmer Trilogy BiometStanmore Modular Stem
16 <1% Yes
Smith & Nephew EP-Fit Plus Stryker Exeter V40 15 <1% Yes
Corin Trinity ZimmerM/L Taper Kinectiv Cementless
14 <1% Yes
DePuy Duraloc Cementless Cup DePuy Corail 14 <1% No
DePuy Gyros DePuy Corail 14 <1% No
Implants International
Edinburgh Cup Implants International Edinburgh 14 <1% No
Joint Replacement Instrumentation Ltd
JRI Cemented Cup Zimmer MS-30 14 <1% Yes
Mathys Orthopaedics Ltd
RM Mathys Smith & Nephew Anthology 14 <1% Yes
Smith & Nephew EP-Fit Plus Smith & Nephew CPS Plus 14 <1% No
Smith & Nephew Opera Smith & Nephew Spectron 14 <1% No
Stryker Restoration ADM Cup DePuy Corail 14 <1% Yes
Zimmer FM IT Stryker Exeter V40 14 <1% Yes
Zimmer ZCA Stryker Exeter V40 14 <1% Yes
Joint Replacement Instrumentation Ltd
JRI Cemented Cup Stryker Exeter V40 13 <1% Yes
Smith & Nephew Reflection Cemented Smith & Nephew Spectron 13 <1% No
Waldemar Link Snap Fit Waldemar LinkSP II Cemented Stem
13 <1% No
Zimmer Trilogy IT Stryker Exeter V40 13 <1% Yes
Zimmer Zimmer Cemented Cup Stryker Exeter V40 13 <1% Yes
Biomet Avantage Cemented Cup Stryker Exeter V40 12 <1% Yes
Corin Cenator Cemented Cup Smith & Nephew CPCS 12 <1% Yes
Corin Cenator Cemented CupWright Medical UK Ltd
Profemur Cementless Stem
12 <1% Yes
Joint Replacement Instrumentation Ltd
CSF BiometStanmore Modular Stem
12 <1% Yes
Lima Delta TT DePuyS-Rom Cementless Stem
12 <1% Yes
© N
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Table 9(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
29www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Zimmer Continuum Zimmer MS-30 12 <1% No
BiometMallory-Head Cementless Cup
BiometBimetric Cemented (Ti)�
11 <1% No
Biomet Regenerex Ringloc+Joint Replacement Instrumentation Ltd
Furlong HAC Stem 11 <1% Yes
Corin Trinity Waldemar LinkSP II Cemented Stem
11 <1% Yes
DePuy Elite Plus Ogee BiometStanmore Modular Stem
11 <1% Yes
Smith & Nephew Polarcup Cemented Smith & Nephew CPCS 11 <1% No
ZimmerTrabecular Metal Cementless Cup
Stryker Accolade 11 <1% Yes
Zimmer Trilogy IT Biomet Olympia 11 <1% Yes
DePuy Marathon BiometTaperloc Cementless Stem
10 <1% Yes
Joint Replacement Instrumentation Ltd
CSF PlusJoint Replacement Instrumentation Ltd
Furlong Cemented Hemiarthroplasty
10 <1% No
Joint Replacement Instrumentation Ltd
CSF Plus Zimmer MS-30 10 <1% Yes
Mathys Orthopaedics Ltd
RM MathysMathys Orthopaedics Ltd
CCA Cemented Stem
10 <1% No
Orthodynamics Novae DePuy Corail 10 <1% Yes
Smith & Nephew Opera DePuy Corail 10 <1% Yes
Stryker Contemporary DePuyC-Stem AMT Cemented Stem
10 <1% Yes
Waldemar Link Link Flange Cup Stryker Exeter V40 10 <1% Yes
Zimmer Trilogy IT ZimmerVersys Cementless Stem
10 <1% No
B Braun / Aesculap Chirulen B Braun / Aesculap Excia 9 <1% No
Biomet Avantage DePuy Corail 9 <1% Yes
Biomet Avantage Zimmer CPT 9 <1% Yes
Biomet SHP Cup Zimmer CPT 9 <1% Yes
DePuy Pinnacle BiometStanmore Modular Stem
9 <1% Yes
Smith & Nephew R3 Cementless Smith & NephewProfemur Cementless Stem
9 <1% No
Smith & Nephew Reflection Cementless Smith & Nephew Spectron 9 <1% No
Smith & Nephew Reflection Cementless Smith & NephewSynergy Cementless Stem
9 <1% No
Stryker Trident Stryker Accolade II 9 <1% No
Zimmer Continuum DePuy Corail 9 <1% Yes
Centerpulse Centerpulse Muller Centerpulse Muller Str Stem 8 <1% No
DePuy Charnley Cemented Cup Zimmer CPT 8 <1% Yes
DePuy Elite Plus Cemented Cup DePuy Corail Cemented 8 <1% No
DePuy Pinnacle DePuy Depuy Proxima 8 <1% No
Joint Replacement Instrumentation Ltd
CSF PlusJoint Replacement Instrumentation Ltd
Furlong HAC Revision Stem
8 <1% No
© N
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Table 9(a) continued
Continued > Continued >
30 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Lima Delta TT DePuy Trilock BPS 8 <1% Yes
Stryker Contemporary ZimmerM/L Taper Cementless
8 <1% Yes
Waldemar Link Link Flange Cup Waldemar LinkSP II Cemented Stem
8 <1% No
ZimmerTrabecular Metal Cementless Cup
ZimmerM/L Taper Cementless
8 <1% No
Amplitude Saturne DePuy RECLAIM 7 <1% Yes
DePuy Elite Plus Cemented Cup Stryker Accolade 7 <1% Yes
DePuy Pinnacle DePuy Kar 7 <1% No
DePuy Pinnacle Zimmer MS-30 7 <1% Yes
FH Orthopaedics Atlas IIIp FH Orthopaedics FH Modular 7 <1% No
Implants International
CCBMathys Orthopaedics Ltd
CCA Cemented Stem
7 <1% Yes
Joint Replacement Instrumentation Ltd
CSF DePuy Corail 7 <1% Yes
Lima Delta TT Lima Lima Revision Stem 7 <1% No
Orthodynamics Novae Stick DePuyC-Stem Cemented Stem
7 <1% Yes
Smith & Nephew Polarcup Cementless Smith & Nephew CPCS 7 <1% No
Smith & Nephew R3 Cementless BiometTaperloc Cementless Stem
7 <1% Yes
Stryker ContemporaryWright Medical UK Ltd
Profemur Cementless Stem
7 <1% Yes
Stryker Trident DePuyC-Stem AMT Cemented Stem
7 <1% Yes
Stryker Trident DePuy Trilock BPS 7 <1% Yes
Stryker Tritanium Stryker Accolade II 7 <1% No
Symbios SA April Zimmer CPT 7 <1% Yes
Zimmer Trilogy Zimmer Zweymuller 7 <1% No
Zimmer Trilogy IT DePuy Corail 7 <1% Yes
B Braun / AesculapPlasmacup Cementless Cup
Stryker Exeter V40 6 <1% Yes
Biomet Avantage Stryker Exeter V40 6 <1% Yes
Biomet SHP Cup BiometTaperloc Cementless Stem
6 <1% No
Corin Trinity DePuyS-Rom Cementless Stem
6 <1% Yes
DePuy Elite Plus Cemented CupSheffield Medical Products Limited
Aeon Cemented Stem
6 <1% Yes
DePuy Marathon DePuy Charnley Modular 6 <1% No
DePuy Pinnacle DePuySolution Cementless Stem
6 <1% No
DePuy Pinnacle DePuySummit Cemented Stem
6 <1% No
Smith & Nephew EP-Fit Plus Waldemar Link CFP 6 <1% Yes
© N
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Table 9(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
31www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Smith & Nephew Opera DePuyC-Stem AMT Cemented Stem
6 <1% Yes
Stryker ContemporaryJoint Replacement Instrumentation Ltd
Furlong HAC Stem 6 <1% Yes
Stryker Restoration Gap2 Stryker Exeter V40 6 <1% No
Stryker Trident Smith & Nephew Nanos 6 <1% Yes
Wright Medical UK Ltd
A Class Stryker Exeter V40 6 <1% Yes
Zimmer Allofit Zimmer M/L Taper 6 <1% No
Zimmer FM ITJoint Replacement Instrumentation Ltd
Furlong HAC Stem 6 <1% Yes
ZimmerTrabecular Metal Cementless Cup
DePuyS-Rom Cementless Stem
6 <1% Yes
Amplitude Saturne DePuy Corail 5 <1% Yes
B Braun / AesculapPlasmacup Cementless Cup
B Braun / Aesculap Trilliance 5 <1% No
Biomet Apollo DePuy Corail 5 <1% Yes
Biomet Exceed ABT Cemented Biomet Olympia 5 <1% No
Biomet Freedom Zimmer CPT 5 <1% Yes
BiometMallory-Head Cementless Cup
Stryker Exeter V40 5 <1% Yes
Biomet Regenerex Ringloc+ BiometStanmore Modular Stem
5 <1% No
Corin TrinityWright Medical UK Ltd
Profemur Gladiator 5 <1% Yes
Corin Trinity Zimmer VerSys Heritage 5 <1% Yes
DePuy Elite Plus Cemented Cup Zimmer CPT 5 <1% Yes
DePuy Elite Plus Ogee Stryker Accolade 5 <1% Yes
DePuy Marathon DePuy Trilock BPS 5 <1% No
DePuy Pinnacle Biomet Muller-Biomet 5 <1% Yes
Exactech (UK)� Ltd Acumatch Cup Exactech (UK)� LtdNovation Element Stem
5 <1% No
FH Orthopaedics Atlas IIIp Corin miniHip 5 <1% Yes
Joint Replacement Instrumentation Ltd
CSFJoint Replacement Instrumentation Ltd
Furlong Cemented Stem
5 <1% No
Joint Replacement Instrumentation Ltd
CSF Plus DePuyS-Rom Cementless Stem
5 <1% Yes
Lima Delta One TT BiometTaperloc Cementless Stem
5 <1% Yes
Lima Delta One TT DePuy Corail 5 <1% Yes
Lima Delta TT BiometTaperloc Cementless Stem
5 <1% Yes
Medacta UK Ltd Versafit Medacta UK Ltd AMI 5 <1% No
Smith & Nephew EPF-Plus Smith & NephewPolarstem Cementless
5 <1% No
Smith & Nephew R3 Cementless Smith & NephewEchelon Cementless Stem
5 <1% No
© N
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Table 9(a) continued
Continued > Continued >
32 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Stryker Contemporary BiometTaperloc Cementless Stem
5 <1% Yes
Stryker Exeter Rimfit StrykerOmnifit Cementless Stem
5 <1% No
Stryker Tritanium StrykerRestoration Cementless Stem
5 <1% No
Zimmer Continuum ZimmerTrabecular Cementless Stem
5 <1% No
Zimmer Trilogy Corin Metafix Stem 5 <1% Yes
Zimmer Trilogy IT Zimmer VerSys Heritage 5 <1% No
Zimmer ZCA DePuy Corail 5 <1% Yes
B Braun / AesculapPlasmacup Cementless Cup
DePuyS-Rom Cementless Stem
4 <1% Yes
Biomet Exceed ABT Biomet Arcos Cone 4 <1% No
Centerpulse Fitmore Centerpulse MS-30 4 <1% No
Corin Trinity Stryker Accolade II 4 <1% Yes
DePuy DeltaMotion DePuyS-Rom Cementless Stem
4 <1% No
DePuy Duraloc Cementless Cup Stryker Exeter V40 4 <1% Yes
DePuy Elite Plus Cemented Cup DePuy Trilock BPS 4 <1% No
DePuy Elite Plus Ogee BiometTaperloc Cementless Stem
4 <1% Yes
DePuy Elite Plus Ogee Smith & NephewSL-Plus Cementless Stem
4 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus Stryker Accolade 4 <1% Yes
Lima Delta One TT Stryker Exeter V40 4 <1% Yes
Lima Delta One TT StrykerRestoration Cementless Stem
4 <1% Yes
Lima Delta TT Zimmer CPT 4 <1% Yes
Smith & Nephew EP-Fit Plus Smith & NephewPolarstem Cementless
4 <1% No
Stryker Contemporary StrykerOmnifit Cemented Stem
4 <1% No
Stryker Contemporary ZimmerVersys Cementless Stem
4 <1% Yes
Stryker Exeter Rimfit DePuyS-Rom Cementless Stem
4 <1% Yes
Stryker Trident Zimmer CPT 4 <1% Yes
Zimmer Low Profile Muller DePuy Corail 4 <1% Yes
ZimmerTrabecular Metal Cementless Cup
CorinTaperfit Cemented Stem
4 <1% Yes
ZimmerTrabecular Metal Natural Cup
CorinTaperfit Cemented Stem
4 <1% Yes
Zimmer TrilogyJoint Replacement Instrumentation Ltd
Furlong Cemented Stem
4 <1% Yes
Zimmer TrilogyWright Medical UK Ltd
Profemur Cementless Stem
4 <1% Yes
© N
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Table 9(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
33www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Zimmer Trilogy IT ZimmerM/L Taper Cementless
4 <1% No
B Braun / Aesculap Chirulen BiometTaperloc Cemented Stem
3 <1% Yes
Biomet Avantage Cemented Cup DePuyC-Stem AMT Cemented Stem
3 <1% Yes
Biomet Exceed ABT DePuy Corail 3 <1% Yes
Biomet Exceed ABT DePuyS-Rom Cementless Stem
3 <1% Yes
Biomet Exceed ABT Cemented StrykerOmnifit Cemented Stem
3 <1% Yes
Biomet Recap Magnum BiometTaperloc Cementless Stem
3 <1% No
Biomet Stanmore-Arcom Cup DePuyC-Stem Cemented Stem
3 <1% Yes
Biomet Stanmore-Arcom Cup StrykerOmnifit Cemented Stem
3 <1% Yes
Corin Trinity FH Orthopaedics FH Modular 3 <1% Yes
Corin Trinity Stryker Accolade 3 <1% Yes
Corin TrinityWright Medical UK Ltd
Profemur Preserve 3 <1% Yes
DePuy Charnley Cemented Cup DePuyC-Stem AMT Cemented Stem
3 <1% No
DePuy Charnley Ogee DePuyC-Stem AMT Cemented Stem
3 <1% No
DePuy Elite Plus Cemented Cup BiometTaperloc Cementless Stem
3 <1% Yes
DePuy Elite Plus Ogee DePuy Charnley Modular 3 <1% No
DePuy Pinnacle DePuy RECLAIM 3 <1% No
DePuy Pinnacle StrykerRestoration Cementless Stem
3 <1% Yes
DePuy Pinnacle Waldemar Link CFP 3 <1% Yes
Exactech (UK)� Ltd Novation Exactech (UK)� Ltd Novation Stem 3 <1% No
Joint Replacement Instrumentation Ltd
CSF PlusSheffield Medical Products Limited
Aeon Cemented Stem
3 <1% Yes
Lima Delta One TT DePuyS-Rom Cementless Stem
3 <1% Yes
Lima Delta TT Corin miniHip 3 <1% Yes
Lima Delta TT Lima Modulus 3 <1% No
Mathys Orthopaedics Ltd
RM Mathys Smith & NephewSLR-Plus Cementless Stem
3 <1% Yes
Medacta UK Ltd Versafit Medacta UK Ltd Quadra Cementless 3 <1% No
Smith & Nephew EP-Fit Plus Waldemar LinkSP II Cemented Stem
3 <1% Yes
Smith & Nephew Opera Smith & NephewPolarstem Cementless
3 <1% No
Smith & Nephew R3 Cementless Smith & Nephew Nanos 3 <1% No
© N
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Table 9(a) continued
Continued > Continued >
34 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Smith & Nephew R3 Cementless StrykerABG II Monolithic Cementless Stem
3 <1% Yes
Stryker Contemporary StrykerABG II Monolithic Cementless Stem
3 <1% No
Stryker Contemporary Stryker Exeter 3 <1% No
Stryker Contemporary StrykerRestoration Cementless Stem
3 <1% No
Stryker Contemporary ZimmerRevitan Cementless Stem
3 <1% Yes
Stryker Exeter DurationJoint Replacement Instrumentation Ltd
Furlong Cemented Stem
3 <1% Yes
Stryker Exeter Rimfit DePuyC-Stem AMT Cemented Stem
3 <1% Yes
Stryker Exeter Rimfit StrykerRestoration Cementless Stem
3 <1% No
Stryker Exeter Rimfit Waldemar LinkSP II Cemented Revision
3 <1% Yes
Stryker Secure Fit Cementless Cup BiometMallory-Head Cementless Stem
3 <1% Yes
Stryker Trident DePuyC-Stem Cemented Stem
3 <1% Yes
Stryker Trident DePuyS-Rom Cementless Stem
3 <1% Yes
Stryker Trident Symbios SA SPS Modular 3 <1% Yes
Stryker Tritanium Waldemar LinkSP II Cemented Stem
3 <1% Yes
Symbios SA April Symbios SA Harmony 3 <1% No
Waldemar Link Snap Fit Biomet Muller-Biomet 3 <1% Yes
Wright Medical UK Ltd
Procotyl Zimmer CPT 3 <1% Yes
Zimmer Allofit DePuy Corail 3 <1% Yes
Zimmer Continuum DePuyC-Stem AMT Cemented Stem
3 <1% Yes
Zimmer Continuum ZimmerRevitan Cementless Stem
3 <1% No
ZimmerTrabecular Metal Cementless Cup
BiometStanmore Modular Stem
3 <1% Yes
ZimmerTrabecular Metal Cementless Cup
DePuyC-Stem Cemented Stem
3 <1% Yes
ZimmerTrabecular Metal Cementless Cup
DePuy Trilock BPS 3 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Smith & NephewPolarstem Cementless
3 <1% Yes
ZimmerTrabecular Metal Cementless Cup
ZimmerRevitan Cementless Stem
3 <1% No
Zimmer Trilogy CorinTaperfit Cemented Stem
3 <1% Yes
Zimmer Trilogy DePuy Reef 3 <1% Yes
© N
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Table 9(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
35www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Zimmer Trilogy Smith & Nephew Spectron 3 <1% Yes
Zimmer Trilogy Zimmer ZMR 3 <1% No
Zimmer ZCA ZimmerM/L Taper Cementless
3 <1% No
Zimmer ZCA Zimmer Zweymuller 3 <1% No
Amplitude Saturne DePuyC-Stem AMT Cemented Stem
2 <1% Yes
Amplitude Saturne DePuy Trilock BPS 2 <1% Yes
Biomet Avantage DePuy Trilock BPS 2 <1% Yes
Biomet Exceed ABT BiometBimetric Cemented (Ti)�
2 <1% No
Biomet Exceed ABT Symbios SA SPS Evolution 2 <1% Yes
Biomet Exceed ABT Symbios SA SPS Ha 2 <1% Yes
Biomet Exceed ABT Cemented Stryker Exeter V40 2 <1% Yes
BiometMallory-Head Cementless Cup
BiometMallory-Head Cementless Stem
2 <1% No
Biomet Regenerex Ringloc+ CorinTaperfit Cemented Stem
2 <1% Yes
Biomet SHP Cup BiometBimetric Cemented (Ti)�
2 <1% No
Biomet SHP Cup BiometBimetric Cementless Stem
2 <1% No
Corin Cenator Cemented Cup Smith & Nephew CPS Plus 2 <1% Yes
Corin Trinity DePuySummit Cementless Stem
2 <1% Yes
Corin Trinity Waldemar Link CFP 2 <1% Yes
DePuy DeltaMotion Stryker Exeter V40 2 <1% Yes
DePuy Elite Plus Cemented Cup DePuy Kar 2 <1% No
DePuy Elite Plus Cemented Cup Smith & NephewSL-Plus Cementless Stem
2 <1% Yes
DePuy Elite Plus Ogee StrykerOmnifit Cementless Stem
2 <1% Yes
DePuy Elite Plus Ogee Zimmer ZMR 2 <1% Yes
DePuy Marathon DePuyCharnley Cemented Stem
2 <1% No
DePuy Marathon DePuy Corail Cemented 2 <1% No
DePuy Pinnacle B Braun / Aesculap Centrament 2 <1% Yes
DePuy Pinnacle Biomet Arcos Cone 2 <1% Yes
DePuy Pinnacle BiometTaperloc Cemented Stem
2 <1% Yes
DePuy Pinnacle DePuy Corail Revision 2 <1% No
DePuy Pinnacle ZimmerCLS Cementless Stem
2 <1% Yes
DePuy Pinnacle Zimmer Fitmore Stem 2 <1% Yes
Implants International
CCB DePuy Corail 2 <1% Yes
© N
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Table 9(a) continued
Continued > Continued >
36 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
matchJoint Replacement Instrumentation Ltd
CSF Plus Corin miniHip 2 <1% Yes
Joint Replacement Instrumentation Ltd
CSF PlusJoint Replacement Instrumentation Ltd
Furlong Cemented Stem
2 <1% No
Joint Replacement Instrumentation Ltd
JRI Cemented Cup DePuy Corail 2 <1% Yes
Joint Replacement Instrumentation Ltd
JRI Cemented CupJoint Replacement Instrumentation Ltd
Furlong HAC Stem 2 <1% No
Joint Replacement Instrumentation Ltd
JRI Cemented CupSheffield Medical Products Limited
Aeon Cemented Stem
2 <1% Yes
Lima Delta One TT Lima H-Max S 2 <1% No
Lima Delta One TT Lima Modulus 2 <1% No
Lima Delta PF DePuy Corail 2 <1% Yes
Lima Delta PF Zimmer CPT 2 <1% Yes
Lima Delta TT BiometTaperloc Cemented Stem
2 <1% Yes
Lima Delta TT DePuyC-Stem AMT Cemented Stem
2 <1% Yes
Lima Delta TTJoint Replacement Instrumentation Ltd
Evolution Cementless
2 <1% Yes
Lima Delta TT Symbios SA SPS Modular 2 <1% Yes
Mathys Orthopaedics Ltd
CCB Mathys Smith & NephewSLR-Plus Cementless Stem
2 <1% Yes
Mathys Orthopaedics Ltd
RM MathysMathys Orthopaedics Ltd
Mathys Revision Stem
2 <1% No
Mathys Orthopaedics Ltd
seleXys PCMathys Orthopaedics Ltd
CCA Cemented Stem
2 <1% No
Medacta UK Ltd Versafit DePuy Trilock BPS 2 <1% Yes
Orthodynamics NovaeJoint Replacement Instrumentation Ltd
Furlong HAC Stem 2 <1% Yes
Orthodynamics Novae Stick DePuy Corail 2 <1% Yes
Orthodynamics Novae Stick OrthodynamicsCannulok Cementless Stem
2 <1% No
Sheffield Medical Products Limited
Aeon Cemented Cup Stryker Exeter V40 2 <1% Yes
Smith & Nephew EPF-Plus DePuyC-Stem Cemented Stem
2 <1% Yes
Smith & Nephew Polarcup Cementless DePuy Corail 2 <1% Yes
Smith & Nephew R3 Cementless Smith & Nephew SMF 2 <1% No
Smith & Nephew Reflection Cementless Smith & Nephew Anthology 2 <1% No
Stryker ContemporaryJoint Replacement Instrumentation Ltd
Furlong Cemented Stem
2 <1% Yes
Stryker Contemporary OrthodynamicsCannulok Cementless Stem
2 <1% Yes
Stryker Contemporary Waldemar Link MP Revision 2 <1% Yes
Stryker Exeter Rimfit BiometTaperloc Cementless Stem
2 <1% Yes
© N
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Table 9(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
37www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Stryker Exeter Rimfit StrykerRestoration Cemented Stem
2 <1% No
Stryker Exeter RimfitWright Medical UK Ltd
Profemur Cementless Stem
2 <1% Yes
Stryker Secure Fit Cementless Cup BiometTaperloc Cementless Stem
2 <1% Yes
Stryker Trident DePuy Kar 2 <1% Yes
Stryker Trident OrthodynamicsCannulok Cementless Stem
2 <1% Yes
Stryker Tritanium BiometStanmore Modular Stem
2 <1% Yes
Stryker Tritanium DePuy Corail 2 <1% Yes
Wright Medical UK Ltd
Procotyl CorinTaperfit Cemented Stem
2 <1% Yes
Wright Medical UK Ltd
ProcotylWright Medical UK Ltd
Profemur Gladiator 2 <1% No
Zimmer Continuum DePuyS-Rom Cementless Stem
2 <1% Yes
Zimmer Durom Resurfacing Cup ZimmerCLS Cementless Stem
2 <1% No
Zimmer FM IT Zimmer M/L Taper 2 <1% No
ZimmerTrabecular Metal Cementless Cup
Smith & Nephew CPCS 2 <1% Yes
ZimmerTrabecular Metal Cementless Cup
ZimmerM/L Taper Kinectiv Cementless
2 <1% No
ZimmerTrabecular Metal Cementless Cup
Zimmer ZMR 2 <1% No
ZimmerTrabecular Metal Natural Cup
Stryker Exeter V40 2 <1% Yes
Zimmer Trilogy DePuyC-Stem Cemented Stem
2 <1% Yes
Zimmer Trilogy ZimmerAlloclassic Cementless Stem
2 <1% No
Zimmer Trilogy IT ZimmerCLS Cementless Stem
2 <1% No
Zimmer ZCA BiometStanmore Modular Stem
2 <1% Yes
Zimmer ZCA ZimmerRevitan Cementless Stem
2 <1% No
Zimmer Zimmer Cemented Cup Waldemar Link CFP 2 <1% Yes
Amplitude Saturne Peter Brehm GmbHPeter Brehm Revision Stem
1 <1% Yes
B Braun / Aesculap Chirulen B Braun / AesculapPrevision Cemented Stem
1 <1% No
B Braun / Aesculap Chirulen DePuyC-Stem AMT Cemented Stem
1 <1% Yes
B Braun / Aesculap Chirulen ZimmerRevitan Cementless Stem
1 <1% Yes
B Braun / AesculapPlasmacup Cementless Cup
B Braun / AesculapPrevision Cemented Stem
1 <1% No
© N
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Table 9(a) continued
Continued > Continued >
38 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
B Braun / AesculapPlasmacup Cementless Cup
DePuy Reef 1 <1% Yes
Biomet Apollo BiometTaperloc Cementless Stem
1 <1% No
Biomet Avantage BiometTaperloc Cemented Stem
1 <1% No
Biomet Avantage BiometTaperloc Complete Cementless Stem
1 <1% No
Biomet AvantageJoint Replacement Instrumentation Ltd
Furlong HAC Stem 1 <1% Yes
Biomet Avantage Cemented Cup DePuy Corail 1 <1% Yes
Biomet Avantage Cemented Cup Zimmer CPT 1 <1% Yes
Biomet Exceed ABTJoint Replacement Instrumentation Ltd
Furlong HAC Stem 1 <1% Yes
Biomet Exceed ABT Symbios SA SPS Modular 1 <1% Yes
Biomet Exceed ABT Cemented BiometBimetric Cementless Stem
1 <1% No
Biomet Freedom Biomet Muller-Biomet 1 <1% No
Biomet Freedom BiometTaperloc Cementless Stem
1 <1% No
Biomet Freedom Peter Brehm GmbHPeter Brehm Revision Stem
1 <1% Yes
BiometMallory-Head Cementless Cup
Biomet CDH Stem 1 <1% No
BiometMallory-Head Cementless Cup
DePuyC-Stem AMT Cemented Stem
1 <1% Yes
BiometMallory-Head Cementless Cup
Waldemar LinkSP II Cemented Stem
1 <1% Yes
BiometMallory-Head Cementless Cup
Zimmer CPT 1 <1% Yes
Biomet Recap Magnum BiometTaperloc Cemented Stem
1 <1% No
Biomet Recap Magnum BiometTaperloc Complete Cementless Stem
1 <1% No
Biomet Regenerex Revision BiometTaperloc Cementless Stem
1 <1% No
Biomet Regenerex Revision Stryker Exeter V40 1 <1% Yes
Biomet Regenerex Ringloc+ BiometBimetric Cementless Stem
1 <1% No
Biomet Regenerex Ringloc+ BiometTaperloc Cemented Stem
1 <1% No
Biomet Regenerex Ringloc+ DePuy Corail 1 <1% Yes
Biomet Regenerex Ringloc+ DePuyS-Rom Cementless Stem
1 <1% Yes
Biomet Regenerex Ringloc+ Stryker Exeter V40 1 <1% Yes
Biomet Regenerex Ringloc+Wright Medical UK Ltd
Profemur Cementless Stem
1 <1% Yes
Biomet Regenerex Ringloc+ Zimmer CPT 1 <1% Yes
© N
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Table 9(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
39www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Biomet Scan Cemented Cup DePuyCharnley Cemented Stem
1 <1% Yes
Biomet SHP CupSheffield Medical Products Limited
Aeon Cemented Stem
1 <1% Yes
Biomet Stanmore-Arcom Cup BiometBimetric Cementless Stem
1 <1% No
Biomet Stanmore-Arcom Cup Biomet Conelock 1 <1% No
Biomet Stanmore-Arcom Cup BiometStanmore Monobloc Stem
1 <1% No
Biomet Stanmore-Arcom Cup BiometTaperloc Cemented Stem
1 <1% No
Biomet Stanmore-Arcom Cup DePuyC-Stem AMT Cemented Stem
1 <1% Yes
Biomet Stanmore-Arcom Cup Stryker Exeter V40 1 <1% Yes
Centerpulse Allofit Centerpulse P10 Muller 1 <1% No
Centerpulse Low Profile Muller CenterpulseCLS Cementless Stem
1 <1% No
Corin Cenator Cemented Cup BiometTaperloc Cemented Stem
1 <1% Yes
Corin Cenator Cemented Cup Corin Metafix Stem 1 <1% No
Corin Cenator Cemented Cup ZimmerRevitan Cementless Stem
1 <1% Yes
Corin DC-Fit CorinPanatomic Cementless Stem
1 <1% No
Corin Hi-Nek Cemented Cup DePuyCharnley Cemented Stem
1 <1% Yes
Corin Hi-Nek Cemented Cup Zimmer CPT 1 <1% Yes
Corin Trinity DePuy RECLAIM 1 <1% Yes
Corin Trinity DePuy Silent 1 <1% Yes
Corin Trinity Peter Brehm GmbHPeter Brehm Revision Stem
1 <1% Yes
Corin Trinity Smith & NephewSL-Plus Cementless Stem
1 <1% Yes
Corin Trinity Zimmer M/L Taper 1 <1% Yes
DePuy Charnley Cemented Cup DePuy Charnley Modular 1 <1% No
DePuy Charnley Cemented Cup Zimmer Zweymuller 1 <1% Yes
DePuy DeltaMotion B Braun / Aesculap Metha 1 <1% Yes
DePuy DeltaMotion Stryker Accolade II 1 <1% Yes
DePuy DeltaMotion StrykerRestoration Cementless Stem
1 <1% Yes
DePuy DeltaMotion ZimmerM/L Taper Cementless
1 <1% Yes
DePuy DeltaMotion Zimmer MS-30 1 <1% Yes
DePuy Elite Plus Cemented Cup BiometTaperloc Cemented Stem
1 <1% Yes
DePuy Elite Plus Cemented Cup Stryker Exeter 1 <1% Yes
© N
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Table 9(a) continued
Continued > Continued >
40 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
DePuy Elite Plus Ogee BiometTaperloc Cemented Stem
1 <1% Yes
DePuy Elite Plus Ogee CorinTaperfit Cemented Stem
1 <1% Yes
DePuy Elite Plus Ogee DePuyCharnley Cemented Stem
1 <1% No
DePuy Elite Plus Ogee DePuyS-Rom Cementless Stem
1 <1% No
DePuy Elite Plus OgeeJoint Replacement Instrumentation Ltd
Furlong Cemented Hemiarthroplasty
1 <1% Yes
DePuy Elite Plus OgeeSheffield Medical Products Limited
Aeon Cemented Stem
1 <1% Yes
DePuy Elite Plus Ogee Stryker Exeter 1 <1% Yes
DePuy Elite Plus Ogee ZimmerRevitan Cementless Stem
1 <1% Yes
DePuy Gyros DePuyC-Stem AMT Cemented Stem
1 <1% No
DePuy Gyros DePuyS-Rom Cementless Stem
1 <1% No
DePuy GyrosJoint Replacement Instrumentation Ltd
Furlong HAC Stem 1 <1% Yes
DePuy Gyros Zimmer CPT 1 <1% Yes
DePuy Marathon DePuy Kar 1 <1% No
DePuy Marathon DePuyS-Rom Cementless Stem
1 <1% No
DePuy Marathon OrthodynamicsCannulok Cementless Stem
1 <1% Yes
DePuy Marathon Smith & NephewPolarstem Cementless
1 <1% Yes
DePuy Marathon StrykerRestoration Cementless Stem
1 <1% Yes
DePuy Pinnacle CorinTrifit Cementless Stem
1 <1% Yes
DePuy PinnacleJoint Replacement Instrumentation Ltd
Furlong Cemented Stem
1 <1% Yes
DePuy PinnacleJoint Replacement Instrumentation Ltd
Securus 1 <1% Yes
DePuy Pinnacle Lima H-Max S 1 <1% Yes
DePuy Pinnacle Lima Lima Revision Stem 1 <1% Yes
DePuy Pinnacle Smith & NephewEchelon Cementless Stem
1 <1% Yes
DePuy PinnacleStanmore Implants Worldwide
METS Cemented 1 <1% Yes
DePuy Pinnacle Stryker Accolade II 1 <1% Yes
DePuy Pinnacle Waldemar Link MP Revision 1 <1% Yes
DePuy Pinnacle Waldemar LinkSP II Cemented Revision
1 <1% Yes
DePuy PinnacleWright Medical UK Ltd
Ancafit Cementless Stem
1 <1% Yes
© N
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Table 9(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
41www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
DePuy PinnacleWright Medical UK Ltd
Profemur Cementless Stem
1 <1% Yes
DePuy Pinnacle Zimmer Muller Str Stem 1 <1% Yes
DePuy Ultima Cemented Cup DePuy Corail 1 <1% No
Exactech (UK)� Ltd Acumatch Cup CorinOxford Universal Hip (Corin)� Cementless Stem
1 <1% Yes
Exactech (UK)� Ltd Acumatch Cup Stryker Exeter V40 1 <1% Yes
FH Orthopaedics Atlas IIIp Waldemar Link CFP 1 <1% Yes
Implantcast GmbH Accis Resurfacing Cup CorinTaperfit Cemented Stem
1 <1% Yes
Implants International
Edinburgh Cup Stryker Exeter V40 1 <1% Yes
Joint Replacement Instrumentation Ltd
CSFJoint Replacement Instrumentation Ltd
Furlong HAC Revision Stem
1 <1% No
Joint Replacement Instrumentation Ltd
CSF Stryker Exeter V40 1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus B Braun / Aesculap Excia 1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus BiometTaperloc Cementless Stem
1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus DePuy Corail Cemented 1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus Lima Modulus 1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus OrthodynamicsCannulok Cementless Stem
1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus ZimmerM/L Taper Cementless
1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus Zimmer Muller Str Stem 1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus ZimmerRevitan Cementless Stem
1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus ZimmerVersys Cementless Stem
1 <1% Yes
Joint Replacement Instrumentation Ltd
JRI Cemented Cup DePuy Corail Cemented 1 <1% Yes
Joint Replacement Instrumentation Ltd
JRI Cemented Cup Zimmer CPT 1 <1% Yes
Joint Replacement Instrumentation Ltd
JRI Cemented Cup Zimmer Muller Str Stem 1 <1% Yes
Lima Delta One TT B Braun / Aesculap Centrament 1 <1% Yes
Lima Delta One TT Biomet Arcos Cone 1 <1% Yes
Lima Delta One TT DePuy Trilock BPS 1 <1% Yes
Lima Delta One TT Lima Friendly 1 <1% No
Lima Delta One TT Lima Lima Revision Stem 1 <1% No
Lima Delta One TT Stryker Accolade 1 <1% Yes
© N
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Table 9(a) continued
Continued > Continued >
42 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Lima Delta One TTWright Medical UK Ltd
Profemur Cemented Stem
1 <1% Yes
Lima Delta One TT ZimmerVersys Cementless Stem
1 <1% Yes
Lima Delta Revision TT DePuy Corail 1 <1% Yes
Lima Delta TT B Braun / Aesculap Excia 1 <1% Yes
Lima Delta TT Biomet Muller-Biomet 1 <1% Yes
Lima Delta TT CorinOxford Universal Hip (Corin)� Cementless Stem
1 <1% Yes
Lima Delta TT CorinTaperfit Cemented Stem
1 <1% Yes
Lima Delta TT DePuy Kar 1 <1% Yes
Lima Delta TT Smith & Nephew CPCS 1 <1% Yes
Lima Delta TT Stryker Accolade 1 <1% Yes
Lima Delta TT Symbios SA SPS Ha 1 <1% Yes
Lima Delta TT ZimmerM/L Taper Cementless
1 <1% Yes
Lima Delta TT Zimmer MS-30 1 <1% Yes
Mathys Orthopaedics Ltd
CCB MathysJoint Replacement Instrumentation Ltd
Furlong HAC Stem 1 <1% Yes
Mathys Orthopaedics Ltd
CCB Mathys Stryker Exeter V40 1 <1% Yes
Mathys Orthopaedics Ltd
CCB Mathys Zimmer MS-30 1 <1% Yes
Mathys Orthopaedics Ltd
CCB Mathys Zimmer Muller Str Stem 1 <1% Yes
Mathys Orthopaedics Ltd
RM MathysJoint Replacement Instrumentation Ltd
Furlong HAC Stem 1 <1% Yes
Mathys Orthopaedics Ltd
RM Mathys StrykerRestoration Cementless Stem
1 <1% Yes
Medacta UK Ltd Versafit Medacta UK Ltd AML 1 <1% No
Medacta UK Ltd Versafit Stryker Exeter V40 1 <1% Yes
Orthodynamics Novae Corin Metafix Stem 1 <1% Yes
Orthodynamics Novae DePuy Trilock BPS 1 <1% Yes
Orthodynamics NovaeJoint Replacement Instrumentation Ltd
Furlong Cemented Hemiarthroplasty
1 <1% Yes
Orthodynamics Novae Stryker Accolade 1 <1% Yes
Orthodynamics Novae StrykerRestoration Cementless Stem
1 <1% Yes
Orthodynamics NovaeWright Medical UK Ltd
Profemur Cementless Stem
1 <1% Yes
Orthodynamics Novae Stick BiometStanmore Modular Stem
1 <1% Yes
Orthodynamics Novae Stick DePuySolution Cementless Stem
1 <1% Yes
Orthodynamics Novae StickJoint Replacement Instrumentation Ltd
Furlong HAC Stem 1 <1% Yes
© N
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Table 9(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
43www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
matchSerf Dedienne sante
Novae Stick OrthodynamicsCannulok Cementless Stem
1 <1% Yes
Serf Dedienne sante
Sunfit Stryker Exeter V40 1 <1% Yes
Smith & Nephew BHR Resurfacing Cup Smith & Nephew Anthology 1 <1% No
Smith & Nephew BHR Resurfacing Cup Smith & NephewSynergy Cementless Stem
1 <1% No
Smith & Nephew EP-Fit Plus DePuyC-Stem AMT Cemented Stem
1 <1% Yes
Smith & Nephew EP-Fit Plus Smith & NephewSLR-Plus Cementless Stem
1 <1% No
Smith & Nephew EPF-Plus Stryker GMRS 1 <1% Yes
Smith & Nephew Opera BiometBimetric Cementless Stem
1 <1% Yes
Smith & Nephew Opera CorinTaperfit Cemented Stem
1 <1% Yes
Smith & Nephew Opera DePuy Charnley Modular 1 <1% Yes
Smith & Nephew Opera DePuy Trilock BPS 1 <1% Yes
Smith & Nephew Opera Smith & NephewSL-Plus Cementless Stem
1 <1% No
Smith & Nephew Polarcup Cemented Smith & NephewPolarstem Cementless
1 <1% No
Smith & Nephew R3 Cementless BiometMallory-Head Cementless Stem
1 <1% Yes
Smith & Nephew R3 Cementless BiometStanmore Modular Stem
1 <1% Yes
Smith & Nephew R3 Cementless Smith & Nephew Image 1 <1% No
Smith & Nephew R3 Cementless StrykerOmnifit Cementless Stem
1 <1% Yes
Smith & Nephew R3 Cementless Zimmer CPT 1 <1% Yes
Smith & Nephew Reflection Cemented DePuy Corail 1 <1% Yes
Smith & Nephew Reflection CementedJoint Replacement Instrumentation Ltd
Furlong HAC Stem 1 <1% Yes
Smith & Nephew Reflection Cemented Smith & NephewSynergy Cementless Stem
1 <1% No
Stryker ABG II Cementless Cup Stryker Accolade 1 <1% No
Stryker Contemporary Biomet Arcos Cone 1 <1% Yes
Stryker Contemporary DePuyC-Stem Cemented Stem
1 <1% Yes
Stryker Contemporary DePuy Kar 1 <1% Yes
Stryker Contemporary DePuyS-Rom Cementless Stem
1 <1% Yes
Stryker Contemporary DePuySummit Cemented Stem
1 <1% Yes
Stryker ContemporaryMathys Orthopaedics Ltd
CBC 1 <1% Yes
Stryker Contemporary OrthodynamicsCannulok Cemented Stem
1 <1% Yes
© N
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Table 9(a) continued
Continued > Continued >
44 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Stryker Contemporary Smith & NephewSynergy Cementless Stem
1 <1% Yes
Stryker Contemporary StrykerOmnifit Cementless Stem
1 <1% No
Stryker Contemporary Symbios SA SPS Ha 1 <1% Yes
Stryker Contemporary Symbios SA SPS Modular 1 <1% Yes
Stryker ContemporaryWright Medical UK Ltd
Profemur Preserve 1 <1% Yes
Stryker Exeter Duration Biomet Kent Hip 1 <1% Yes
Stryker Exeter Duration BiometTaperloc Cementless Stem
1 <1% Yes
Stryker Exeter Duration DePuy Corail 1 <1% Yes
Stryker Exeter Duration Zimmer CPT 1 <1% Yes
Stryker Exeter Rimfit BiometStanmore Modular Stem
1 <1% Yes
Stryker Exeter RimfitJoint Replacement Instrumentation Ltd
Furlong HAC Stem 1 <1% Yes
Stryker Exeter RimfitMathys Orthopaedics Ltd
Twinsys Cementless Stem
1 <1% Yes
Stryker Exeter Rimfit StrykerABG II Monolithic Cementless Stem
1 <1% No
Stryker Exeter Rimfit Stryker Exeter 1 <1% No
Stryker Exeter Rimfit ZimmerM/L Taper Cementless
1 <1% Yes
Stryker Exeter Rimfit ZimmerM/L Taper Kinectiv Cementless
1 <1% Yes
Stryker Gap Ring Stryker Exeter V40 1 <1% No
Stryker Restoration ADM Cup B Braun / Aesculap Excia 1 <1% Yes
Stryker Restoration ADM Cup B Braun / Aesculap Excia-Cemented 1 <1% Yes
Stryker Restoration ADM Cup DePuy Trilock BPS 1 <1% Yes
Stryker Restoration ADM Cup Smith & Nephew Spectron 1 <1% Yes
Stryker Restoration ADM Cup Smith & NephewSynergy Cementless Stem
1 <1% Yes
Stryker Restoration ADM Cup Stryker Accolade 1 <1% No
Stryker Restoration ADM Cup Zimmer M/L Taper 1 <1% Yes
Stryker Restoration ADM Cup ZimmerM/L Taper Cementless
1 <1% Yes
Stryker Restoration ADM Cup ZimmerRevitan Cementless Stem
1 <1% Yes
Stryker Restoration ADM Cup ZimmerVersys Cementless Stem
1 <1% Yes
Stryker Restoration Gap2 Zimmer CPT 1 <1% Yes
Stryker Secure Fit Cementless Cup Biomet Arcos Cone 1 <1% Yes
Stryker Secure Fit Cementless Cup DePuyC-Stem AMT Cemented Stem
1 <1% Yes
Stryker Secure Fit Cementless Cup Stryker Exeter V40 1 <1% No
Stryker Trident Biomet Arcos Cone 1 <1% Yes
© N
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Table 9(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
45www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Stryker Trident DePuy Reef 1 <1% Yes
Stryker TridentJoint Replacement Instrumentation Ltd
Securus 1 <1% Yes
Stryker Trident StrykerABG I Cementless Stem
1 <1% No
Stryker Trident StrykerABG II Cementless Stem
1 <1% No
Stryker Trident Waldemar Link MP Revision 1 <1% Yes
Stryker Trident Waldemar LinkSP II Cemented Stem
1 <1% Yes
Stryker Trident ZimmerM/L Taper Cementless
1 <1% Yes
Stryker Tritanium BiometTaperloc Cementless Stem
1 <1% Yes
Stryker Tritanium DePuyC-Stem Cemented Stem
1 <1% Yes
Stryker Tritanium StrykerRestoration Cemented Stem
1 <1% No
Waldemar Link Interplanta Zimmer CPT 1 <1% Yes
Waldemar Link Snap Fit Waldemar Link CFP 1 <1% No
Waldemar Link Snap Fit Waldemar LinkSP II Cemented Revision
1 <1% No
Wright Medical UK Ltd
A ClassWright Medical UK Ltd
Profemur Cemented Stem
1 <1% No
Wright Medical UK Ltd
Procotyl Corin Metafix Stem 1 <1% Yes
Zimmer Continuum BiometTaperloc Cementless Stem
1 <1% Yes
Zimmer Continuum DePuy Trilock BPS 1 <1% Yes
Zimmer ContinuumJoint Replacement Instrumentation Ltd
Furlong HAC Stem 1 <1% Yes
Zimmer Continuum OrthodynamicsCannulok Cementless Stem
1 <1% Yes
Zimmer Continuum StrykerRestoration Cementless Stem
1 <1% Yes
Zimmer Continuum Waldemar LinkSP II Cemented Stem
1 <1% Yes
Zimmer ContinuumWright Medical UK Ltd
Profemur L 1 <1% Yes
Zimmer Continuum Zimmer VerSys Heritage 1 <1% No
Zimmer Continuum Zimmer ZMR 1 <1% No
Zimmer Continuum Zimmer Zweymuller 1 <1% No
Zimmer FM ITWright Medical UK Ltd
Profemur Cementless Stem
1 <1% Yes
Zimmer FM IT ZimmerAlloclassic Cementless Stem
1 <1% No
Zimmer FM IT ZimmerCLS Cementless Stem
1 <1% No
© N
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Table 9(a) continued
Continued > Continued >
46 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Zimmer Low Profile Muller DePuyC-Stem AMT Cemented Stem
1 <1% Yes
Zimmer Low Profile MullerMathys Orthopaedics Ltd
CCA Cemented Stem
1 <1% Yes
Zimmer Low Profile Muller Stryker Exeter V40 1 <1% Yes
Zimmer Low Profile Muller Waldemar LinkMP Neck Cementless Stem
1 <1% Yes
Zimmer Low Profile Muller Waldemar LinkSP II Cemented Revision
1 <1% Yes
Zimmer Maxera Zimmer CPT 1 <1% No
ZimmerTrabecular Metal Cementless Cup
Biomet Arcos Cone 1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
BiometBimetric Cementless Stem
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
DePuyCharnley Cemented Stem
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Mathys Orthopaedics Ltd
Twinsys Cementless Stem
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
OrthodynamicsCannulok Cementless Stem
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Smith & NephewSynergy Cementless Stem
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
StrykerRestoration Cementless Stem
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Symbios SA SPS Modular 1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
ZimmerCLS Cementless Stem
1 <1% No
ZimmerTrabecular Metal Cementless Cup
Zimmer M/L Taper 1 <1% No
ZimmerTrabecular Metal Cementless Cup
ZimmerTrabecular Cementless Stem
1 <1% No
ZimmerTrabecular Metal Cementless Cup
ZimmerVersys Cementless Stem
1 <1% No
ZimmerTrabecular Metal Natural Cup
Waldemar Link CFP 1 <1% Yes
Zimmer Trilogy BiometTaperloc Complete Cementless Stem
1 <1% Yes
Zimmer TrilogyJoint Replacement Instrumentation Ltd
Evolution Cementless
1 <1% Yes
Zimmer Trilogy Smith & Nephew Nanos 1 <1% Yes
Zimmer Trilogy Waldemar LinkSP II Cemented Stem
1 <1% Yes
Zimmer Trilogy ZimmerRevitan Cementless Stem
1 <1% No
Zimmer Trilogy IT Corin Metafix Stem 1 <1% Yes
Zimmer Trilogy IT ZimmerM/L Taper Kinectiv Cementless
1 <1% No
© N
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Table 9(a) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
47www.njrcentre.org.uk
© N
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Table 9(a) continued
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Zimmer ZCA Smith & NephewEchelon Cemented Stem
1 <1% Yes
Zimmer ZCA ZimmerCLS Cementless Stem
1 <1% No
Zimmer ZCA Zimmer ZMR 1 <1% No
Zimmer Zimmer Cemented Cup DePuy Corail 1 <1% Yes
Zimmer Zimmer Cemented Cup Waldemar LinkSP II Cemented Revision
1 <1% Yes
Zimmer Zimmer Cemented Cup Zimmer CPT 1 <1% No
Continued >
48 www.njrcentre.org.uk
Table 9(b) Cup-stem brand combinations for revision hip procedures performed during 2012.
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match4,403
ZimmerTrabecular Metal Cementless Cup
Stryker Exeter V40 226 5% Yes
Stryker Exeter Rimfit Stryker Exeter V40 196 4% No
Stryker Contemporary Stryker Exeter V40 193 4% No
DePuy Pinnacle DePuy Corail 178 4% No
Stryker Tritanium Stryker Exeter V40 170 4% No
Stryker Trident Stryker Exeter V40 164 4% No
ZimmerTrabecular Metal Cementless Cup
StrykerRestoration Cementless Stem
141 3% Yes
Stryker Tritanium StrykerRestoration Cementless Stem
128 3% No
ZimmerTrabecular Metal Cementless Cup
Zimmer CPT 121 3% No
Stryker Trident StrykerRestoration Cementless Stem
110 2% No
ZimmerTrabecular Metal Cementless Cup
Zimmer ZMR 89 2% No
DePuy Marathon DePuyC-Stem Cemented Stem
86 2% No
DePuy Pinnacle Stryker Exeter V40 71 2% Yes
ZimmerTrabecular Metal Cementless Cup
ZimmerRevitan Cementless Stem
67 2% No
DePuy Elite Plus Cemented Cup Stryker Exeter V40 62 1% Yes
Lima Delta One TT Lima Lima Revision Stem 48 1% No
Lima Delta TT DePuy Corail 44 1% Yes
Zimmer Continuum Zimmer CPT 44 1% No
Lima Delta One TT Stryker Exeter V40 42 <1% Yes
DePuy Pinnacle DePuyC-Stem AMT Cemented Stem
39 <1% No
Joint Replacement Instrumentation Ltd
CSF PlusJoint Replacement Instrumentation Ltd
Furlong HAC Stem 37 <1% No
DePuy Elite Plus Ogee Stryker Exeter V40 36 <1% Yes
Zimmer Trilogy Zimmer CPT 36 <1% No
Biomet Exceed ABT BiometTaperloc Cementless Stem
34 <1% No
Lima Delta TT Lima Lima Revision Stem 31 <1% No
Stryker Exeter Rimfit StrykerRestoration Cementless Stem
31 <1% No
Zimmer Continuum ZimmerM/L Taper Cementless
30 <1% No
DePuy Pinnacle DePuy Kar 29 <1% No
DePuy Pinnacle DePuyS-Rom Cementless Stem
27 <1% No
Zimmer Trilogy Stryker Exeter V40 27 <1% Yes
Lima Delta TT Stryker Exeter V40 26 <1% Yes
© N
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Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
49www.njrcentre.org.uk
© N
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Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Stryker Contemporary StrykerRestoration Cementless Stem
26 <1% No
DePuy Elite Plus Ogee DePuyC-Stem Cemented Stem
25 <1% No
Lima Delta One TT DePuy Corail 25 <1% Yes
Smith & Nephew R3 Cementless Smith & NephewSynergy Cementless Stem
25 <1% No
ZimmerTrabecular Metal Cementless Cup
DePuy Corail 25 <1% Yes
DePuy Pinnacle StrykerRestoration Cementless Stem
23 <1% Yes
DePuy Marathon Stryker Exeter V40 21 <1% Yes
DePuy Wroblewski Golf Ball DePuyC-Stem Cemented Stem
21 <1% No
DePuy Pinnacle DePuy Corail Revision 20 <1% No
Wright Medical UK Ltd
ProcotylWright Medical UK Ltd
Profemur Cementless Stem
19 <1% No
ZimmerTrabecular Metal Cementless Cup
Waldemar Link MP Revision 19 <1% Yes
Biomet Regenerex Ringloc+ Biomet Arcos Cone 18 <1% No
DePuy Marathon DePuyC-Stem AMT Cemented Stem
18 <1% No
DePuy Pinnacle DePuyC-Stem Cemented Stem
18 <1% No
Stryker Tritanium Stryker Accolade 18 <1% No
Zimmer Continuum Stryker Exeter V40 18 <1% Yes
Joint Replacement Instrumentation Ltd
CSF PlusJoint Replacement Instrumentation Ltd
Furlong HAC Revision Stem
17 <1% No
Zimmer Continuum StrykerRestoration Cementless Stem
17 <1% Yes
Zimmer Continuum Zimmer ZMR 17 <1% No
Corin Cenator Cemented Cup Stryker Exeter V40 16 <1% Yes
Mathys Orthopaedics Ltd
RM MathysMathys Orthopaedics Ltd
Twinsys Cementless Stem
16 <1% No
Stryker Trident Stryker Accolade 16 <1% No
Zimmer Continuum ZimmerRevitan Cementless Stem
16 <1% No
Biomet Regenerex Ringloc+ Stryker Exeter V40 15 <1% Yes
Orthodynamics Novae Stick Stryker Exeter V40 15 <1% Yes
B Braun / AesculapPlasmacup Cementless Cup
DePuySolution Cementless Stem
14 <1% Yes
Biomet Exceed ABT Biomet Arcos Cone 14 <1% No
Corin Trinity Corin Metafix Stem 14 <1% No
ZimmerTrabecular Metal Cementless Cup
Stryker Accolade 14 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Wright Medical UK Ltd
Profemur Cementless Stem
14 <1% Yes
Table 9(b) continued
Continued > Continued >
50 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
matchDePuy Marathon DePuy Corail 13 <1% No
Lima Delta One TT StrykerRestoration Cementless Stem
13 <1% Yes
Orthodynamics Novae Stick DePuyC-Stem Cemented Stem
13 <1% Yes
Smith & Nephew Opera DePuyC-Stem Cemented Stem
13 <1% Yes
Smith & Nephew R3 Cementless Smith & Nephew Anthology 13 <1% No
Smith & Nephew R3 Cementless Smith & NephewPolarstem Cementless
13 <1% No
Smith & Nephew Opera Stryker Exeter V40 12 <1% Yes
Stryker Exeter Duration Stryker Exeter V40 12 <1% No
ZimmerTrabecular Metal Cementless Cup
ZimmerM/L Taper Cementless
12 <1% No
DePuy Pinnacle DePuy RECLAIM 11 <1% No
DePuy Pinnacle DePuySolution Cementless Stem
11 <1% No
Smith & Nephew R3 Cementless Stryker Exeter V40 11 <1% Yes
Zimmer Continuum ZimmerM/L Taper Kinectiv Cementless
11 <1% No
Zimmer ZCA Zimmer CPT 11 <1% No
DePuy Marathon DePuy Corail Revision 10 <1% No
DePuy Pinnacle DePuy Trilock BPS 10 <1% No
DePuy PinnacleJoint Replacement Instrumentation Ltd
Securus 10 <1% Yes
Joint Replacement Instrumentation Ltd
CSF PlusJoint Replacement Instrumentation Ltd
Securus 10 <1% No
Lima Delta One TT DePuyC-Stem Cemented Stem
10 <1% Yes
Lima Delta TT DePuy Trilock BPS 10 <1% Yes
Zimmer Trilogy IT Zimmer CPT 10 <1% No
Biomet Regenerex Ringloc+ BiometTaperloc Cementless Stem
9 <1% No
Corin Trinity DePuy Corail 9 <1% Yes
DePuy Pinnacle Biomet Arcos Cone 9 <1% Yes
DePuy Pinnacle DePuy Reef 9 <1% No
DePuy Pinnacle Smith & NephewEchelon Cementless Stem
9 <1% Yes
DePuy Pinnacle Zimmer CPT 9 <1% Yes
Lima Delta TT DePuyS-Rom Cementless Stem
9 <1% Yes
Smith & Nephew R3 Cementless Smith & NephewEchelon Cementless Stem
9 <1% No
Stryker Exeter Rimfit Waldemar LinkSP II Cemented Revision
9 <1% Yes
Biomet Avantage Cemented Cup Stryker Exeter V40 8 <1% Yes
Table 9(b) continued
© N
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Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
51www.njrcentre.org.uk
© N
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Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
matchCorin Trinity Stryker Exeter V40 8 <1% Yes
Stryker Tritanium DePuy Corail 8 <1% Yes
Zimmer Continuum ZimmerVersys Cementless Stem
8 <1% No
ZimmerTrabecular Metal Cementless Cup
Biomet Arcos Cone 8 <1% Yes
BiometMallory-Head Cementless Cup
Stryker Exeter V40 7 <1% Yes
Biomet Stanmore-Arcom Cup BiometStanmore Modular Stem
7 <1% No
Corin Trinity Corin miniHip 7 <1% No
DePuy Elite Plus Cemented Cup Waldemar Link MP Revision 7 <1% Yes
Lima Delta TT Stryker Accolade 7 <1% Yes
Lima Delta TT StrykerRestoration Cementless Stem
7 <1% Yes
Orthodynamics Novae Stryker Exeter V40 7 <1% Yes
Stryker Restoration Gap2 Stryker Exeter V40 7 <1% No
ZimmerTrabecular Metal Cementless Cup
DePuyC-Stem AMT Cemented Stem
7 <1% Yes
ZimmerTrabecular Metal Cementless Cup
DePuy Reef 7 <1% Yes
ZimmerTrabecular Metal Cementless Cup
DePuyS-Rom Cementless Stem
7 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Joint Replacement Instrumentation Ltd
Securus 7 <1% Yes
ZimmerTrabecular Metal Cementless Cup
ZimmerM/L Taper Kinectiv Cementless
7 <1% No
Biomet Avantage Cemented Cup Zimmer CPT 6 <1% Yes
Biomet Exceed ABT BiometBimetric Cementless Stem
6 <1% No
Biomet Regenerex Ringloc+ Peter Brehm GmbHPeter Brehm Revision Stem
6 <1% Yes
DePuy Elite Plus Ogee DePuyC-Stem AMT Cemented Stem
6 <1% No
DePuy Elite Plus Ogee Zimmer CPT 6 <1% Yes
DePuy Marathon StrykerRestoration Cementless Stem
6 <1% Yes
Exactech (UK)� Ltd Acumatch Cup CorinOxford Universal Hip (Corin)� Cementless Stem
6 <1% Yes
Lima Delta One TT Biomet Arcos Cone 6 <1% Yes
Lima Delta One TT Biomet Muller-Biomet 6 <1% Yes
Lima Delta One TT Zimmer CPT 6 <1% Yes
Stryker Trident DePuy Corail 6 <1% Yes
Stryker Tritanium OrthodynamicsCannulok Cementless Stem
6 <1% Yes
Zimmer Continuum DePuy Corail 6 <1% Yes
Table 9(b) continued
Continued > Continued >
52 www.njrcentre.org.uk
© N
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2013
Table 9(b) continued
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
matchZimmer Continuum Zimmer MS-30 6 <1% No
ZimmerTrabecular Metal Cementless Cup
DePuy Kar 6 <1% Yes
ZimmerTrabecular Metal Cementless Cup
DePuy RECLAIM 6 <1% Yes
Amplitude Saturne DePuy RECLAIM 5 <1% Yes
B Braun / Aesculap Chirulen B Braun / Aesculap Excia-Cemented 5 <1% No
Biomet Avantage DePuy Corail 5 <1% Yes
Biomet Exceed ABT Stryker Exeter V40 5 <1% Yes
Biomet Regenerex Ringloc+ Zimmer CPT 5 <1% Yes
DePuy Charnley Cemented Cup DePuyCharnley Cemented Stem
5 <1% No
Joint Replacement Instrumentation Ltd
CSF PlusJoint Replacement Instrumentation Ltd
Evolution Cementless 5 <1% No
Lima Delta One TT DePuyS-Rom Cementless Stem
5 <1% Yes
Lima Delta One TT Lima Modulus 5 <1% No
Lima Delta Revision TT Lima Lima Revision Stem 5 <1% No
Medacta UK Ltd Versafit Medacta UK Ltd Amis 5 <1% No
Stryker Contemporary Waldemar Link MP Revision 5 <1% Yes
Zimmer Continuum DePuyS-Rom Cementless Stem
5 <1% Yes
Zimmer ContinuumJoint Replacement Instrumentation Ltd
Furlong HAC Stem 5 <1% Yes
Zimmer FM IT ZimmerM/L Taper Cementless
5 <1% No
ZimmerTrabecular Metal Cementless Cup
ZimmerVersys Cementless Stem
5 <1% No
Zimmer Trilogy Smith & NephewEchelon Cementless Stem
5 <1% Yes
Zimmer Trilogy StrykerRestoration Cementless Stem
5 <1% Yes
Zimmer Trilogy Zimmer ZMR 5 <1% No
Biomet Regenerex Ringloc+ Biomet Reach 4 <1% No
Corin TrinityWright Medical UK Ltd
Profemur Cementless Stem
4 <1% Yes
DePuy Elite Plus Ogee Biomet Arcos Cone 4 <1% Yes
DePuy Marathon DePuy Charnley Modular 4 <1% No
DePuy Marathon DePuy RECLAIM 4 <1% No
DePuy Pinnacle Lima Lima Revision Stem 4 <1% Yes
DePuy Pinnacle Zimmer ZMR 4 <1% Yes
Joint Replacement Instrumentation Ltd
CSFJoint Replacement Instrumentation Ltd
Furlong HAC Stem 4 <1% No
Lima Delta TT BiometStanmore Modular Stem
4 <1% Yes
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
53www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Lima Delta TT DePuyC-Stem Cemented Stem
4 <1% Yes
Orthodynamics Novae Zimmer CPT 4 <1% Yes
Orthodynamics Novae Stick StrykerRestoration Cementless Stem
4 <1% Yes
Smith & Nephew R3 Cementless Smith & Nephew MDF Modular 4 <1% No
Smith & Nephew R3 Cementless Smith & Nephew Spectron 4 <1% No
Stryker Contemporary DePuyS-Rom Cementless Stem
4 <1% Yes
Stryker Contemporary OrthodynamicsCannulok Cementless Stem
4 <1% Yes
Stryker Restoration ADM Cup Stryker Exeter V40 4 <1% No
Stryker Restoration Gap2 StrykerRestoration Cementless Stem
4 <1% No
Stryker Trident Waldemar Link MP Revision 4 <1% Yes
Stryker Tritanium DePuy RECLAIM 4 <1% Yes
Stryker Tritanium Zimmer ZMR 4 <1% Yes
Waldemar Link Snap Fit Waldemar Link SP II Cemented Stem 4 <1% No
Wright Medical UK Ltd
ProcotylWright Medical UK Ltd
Profemur Preserve 4 <1% No
Zimmer Continuum Biomet Arcos Cone 4 <1% Yes
Zimmer Low Profile Muller Zimmer Muller Str Stem 4 <1% No
ZimmerTrabecular Metal Cementless Cup
Smith & NephewEchelon Cementless Stem
4 <1% Yes
ZimmerTrabecular Metal Cementless Cup
StrykerRestoration Cemented Stem
4 <1% Yes
ZimmerTrabecular Metal Cementless Cup
ZimmerCLS Cementless Stem
4 <1% No
Amplitude Saturne DePuyS-Rom Cementless Stem
3 <1% Yes
Biomet Avantage BiometTaperloc Cementless Stem
3 <1% No
Biomet Avantage Stryker Exeter V40 3 <1% Yes
Biomet Avantage Cemented Cup Biomet Arcos Cone 3 <1% No
Biomet Regenerex Ringloc+ BiometStanmore Modular Stem
3 <1% No
Biomet Regenerex Ringloc+Joint Replacement Instrumentation Ltd
Furlong HAC Stem 3 <1% Yes
Biomet Regenerex Ringloc+ StrykerRestoration Cementless Stem
3 <1% Yes
Corin Trinity StrykerRestoration Cementless Stem
3 <1% Yes
DePuy DeltaMotion DePuy Corail 3 <1% No
DePuy Elite Plus Cemented Cup DePuyC-Stem Cemented Stem
3 <1% No
DePuy Elite Plus Ogee Zimmer ZMR 3 <1% Yes
© N
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Table 9(b) continued
Continued > Continued >
54 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
DePuy Marathon BiometBimetric Cemented (CoCr)�
3 <1% Yes
DePuy Marathon DePuyWroblewski Resection
3 <1% No
DePuy Pinnacle Waldemar Link MP Revision 3 <1% Yes
DePuy Pinnacle ZimmerRevitan Cementless Stem
3 <1% Yes
Exactech (UK)� Ltd Acumatch CupJoint Replacement Instrumentation Ltd
Furlong HAC Revision Stem
3 <1% Yes
Exactech (UK)� Ltd Acumatch Cup Lima Lima Revision Stem 3 <1% Yes
Joint Replacement Instrumentation Ltd
JRI Cemented Cup DePuy Corail Cemented 3 <1% Yes
Joint Replacement Instrumentation Ltd
JRI Cemented Cup Zimmer CPT 3 <1% Yes
Lima Delta One TT BiometTaperloc Cementless Stem
3 <1% Yes
Lima Delta One TT DePuy Kar 3 <1% Yes
Lima Delta One TT DePuySolution Cementless Stem
3 <1% Yes
Lima Delta TT Biomet Arcos Cone 3 <1% Yes
Lima Delta TT Biomet Muller-Biomet 3 <1% Yes
Lima Delta TTJoint Replacement Instrumentation Ltd
Furlong HAC Stem 3 <1% Yes
Lima Delta TT Lima H-Max S 3 <1% No
Lima Delta TT Waldemar Link MP Revision 3 <1% Yes
Lima Delta TT Zimmer CPT 3 <1% Yes
Mathys Orthopaedics Ltd
RM Mathys Smith & NephewSLR-Plus Cementless Stem
3 <1% Yes
Orthodynamics Novae Stick Zimmer CPT 3 <1% Yes
Smith & Nephew Polarcup Cemented Smith & Nephew CPCS 3 <1% No
Smith & Nephew Polarcup Cemented Zimmer CPT 3 <1% Yes
Smith & Nephew R3 Cementless StrykerRestoration Cementless Stem
3 <1% Yes
Smith & Nephew Reflection Cemented Stryker Exeter V40 3 <1% Yes
Smith & Nephew Reflection Cementless Stryker Exeter V40 3 <1% Yes
Stryker Contemporary DePuy Kar 3 <1% Yes
Stryker Exeter Rimfit DePuyS-Rom Cementless Stem
3 <1% Yes
Stryker Trident Smith & NephewEchelon Cementless Stem
3 <1% Yes
Stryker TritaniumJoint Replacement Instrumentation Ltd
Furlong HAC Stem 3 <1% Yes
Wright Medical UK Ltd
Procotyl Stryker Exeter V40 3 <1% Yes
Wright Medical UK Ltd
ProcotylWright Medical UK Ltd
Profemur Cemented Stem
3 <1% No
© N
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Table 9(b) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
55www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
ZimmerTrabecular Metal Cementless Cup
DePuyC-Stem Cemented Stem
3 <1% Yes
ZimmerTrabecular Metal Cementless Cup
OrthodynamicsCannulok Cementless Stem
3 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Smith & Nephew Anthology 3 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Symbios SA SPS Modular 3 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Wright Medical UK Ltd
Profemur L 3 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Zimmer GMRS Cementless 3 <1% No
Zimmer ZCA ZimmerRevitan Cementless Stem
3 <1% No
B Braun / AesculapPlasmacup Cementless Cup
B Braun / AesculapBicontact Cementless Stem
2 <1% No
B Braun / AesculapPlasmacup Cementless Cup
B Braun / Aesculap Excia 2 <1% No
B Braun / AesculapPlasmacup Cementless Cup
Stryker Exeter V40 2 <1% Yes
Biomet Avantage Biomet Arcos Cone 2 <1% No
Biomet Avantage Cemented CupWright Medical UK Ltd
Profemur Cementless Stem
2 <1% Yes
Biomet Exceed BiometTaperloc Cementless Stem
2 <1% No
Biomet Freedom Zimmer CPT 2 <1% Yes
BiometMallory-Head Cementless Cup
StrykerRestoration Cementless Stem
2 <1% Yes
Biomet Regenerex Revision Stryker Exeter V40 2 <1% Yes
Biomet Regenerex Ringloc+ BiometBimetric Cementless Stem
2 <1% No
Biomet Regenerex Ringloc+ Biomet Conelock 2 <1% No
Biomet Regenerex Ringloc+ BiometTaperloc Cemented Stem
2 <1% No
Biomet Regenerex Ringloc+ Waldemar Link MP Revision 2 <1% Yes
Corin Cenator Cemented Cup ZimmerRevitan Cementless Stem
2 <1% Yes
Corin Trinity Zimmer CPT 2 <1% Yes
DePuy Charnley Cemented Cup Stryker Exeter V40 2 <1% Yes
DePuy Charnley Cemented Cup Zimmer CPT 2 <1% Yes
DePuy Charnley Ogee Stryker Exeter V40 2 <1% Yes
DePuy Elite Plus Cemented Cup Biomet Arcos Cone 2 <1% Yes
DePuy Elite Plus Cemented Cup DePuy Corail 2 <1% No
DePuy Elite Plus Cemented Cup DePuyElite Plus Cemented Stem
2 <1% No
DePuy Elite Plus Ogee DePuyWroblewski Resection
2 <1% No
© N
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Table 9(b) continued
Continued > Continued >
56 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
DePuy Elite Plus Ogee OrthodynamicsCannulok Cementless Stem
2 <1% Yes
DePuy Elite Plus OgeeStanmore Implants Worldwide
METS Cemented 2 <1% Yes
DePuy Elite Plus Ogee StrykerRestoration Cementless Stem
2 <1% Yes
DePuy Marathon DePuyElite Plus Cemented Stem
2 <1% No
DePuy Marathon DePuy Kar 2 <1% No
DePuy Marathon OrthodynamicsCannulok Cementless Stem
2 <1% Yes
DePuy Marathon Zimmer ZMR 2 <1% Yes
DePuy Pinnacle BiometBimetric Cemented (CoCr)�
2 <1% Yes
DePuy Pinnacle Biomet Muller-Biomet 2 <1% Yes
DePuy Pinnacle BiometStanmore Modular Stem
2 <1% Yes
DePuy Pinnacle BiometTaperloc Complete Cementless Stem
2 <1% Yes
DePuy Pinnacle DePuy Corail Cemented 2 <1% No
DePuy Pinnacle DePuySummit Cemented Stem
2 <1% No
DePuy Pinnacle DePuySummit Cementless Stem
2 <1% No
DePuy Pinnacle OrthodynamicsCannulok Cementless Stem
2 <1% Yes
Implants International
Edinburgh Cup Implants International Edinburgh 2 <1% No
Joint Replacement Instrumentation Ltd
CSF Plus DePuyC-Stem AMT Cemented Stem
2 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus Stryker Exeter V40 2 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus StrykerRestoration Cementless Stem
2 <1% Yes
Joint Replacement Instrumentation Ltd
Furlong ThreadedJoint Replacement Instrumentation Ltd
Furlong HAC Revision Stem
2 <1% No
Lima Delta One TT BiometStanmore Modular Stem
2 <1% Yes
Lima Delta One TT Lima H-Max S 2 <1% No
Lima Delta Revision TT DePuySolution Cementless Stem
2 <1% Yes
Lima Delta Revision TT Stryker Exeter V40 2 <1% Yes
Lima Delta TT DePuy Kar 2 <1% Yes
Lima Delta TT Lima H-Max M 2 <1% No
Orthodynamics Novae Stick OrthodynamicsCannulok Cementless Stem
2 <1% No
Orthodynamics Novae Stick Zimmer ZMR 2 <1% Yes
© N
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Table 9(b) continued
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
57www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Smith & Nephew R3 Cementless ZimmerRevitan Cementless Stem
2 <1% Yes
Stryker Contemporary Biomet Arcos Cone 2 <1% Yes
Stryker Contemporary CorinTaperfit Cemented Stem
2 <1% Yes
Stryker Contemporary Smith & NephewEchelon Cementless Stem
2 <1% Yes
Stryker Exeter Rimfit Biomet Arcos Cone 2 <1% Yes
Stryker Exeter Rimfit DePuy Corail 2 <1% Yes
Stryker Exeter Rimfit Peter Brehm GmbHPeter Brehm Revision Stem
2 <1% Yes
Stryker Exeter Rimfit Smith & NephewEchelon Cementless Stem
2 <1% Yes
Stryker Exeter Rimfit Stryker Accolade 2 <1% No
Stryker Exeter Rimfit Stryker GMRS 2 <1% No
Stryker Exeter Rimfit StrykerRestoration Cemented Stem
2 <1% No
Stryker Exeter Rimfit Waldemar Link MP Revision 2 <1% Yes
Stryker Exeter Rimfit Zimmer CPT 2 <1% Yes
Stryker Exeter Rimfit Zimmer ZMR 2 <1% Yes
Stryker Restoration ADM Cup ZimmerM/L Taper Cementless
2 <1% Yes
Stryker Trident Lima Lima Revision Stem 2 <1% Yes
Stryker Trident Zimmer CPT 2 <1% Yes
Stryker Tritanium DePuyC-Stem AMT Cemented Stem
2 <1% Yes
Stryker Tritanium Smith & Nephew Anthology 2 <1% Yes
Stryker Tritanium Zimmer CPT 2 <1% Yes
Stryker Tritanium Zimmer GMRS Cementless 2 <1% Yes
Symbios SA April Symbios SA SPS Evolution 2 <1% No
Waldemar Link Snap Fit Biomet Muller-Biomet 2 <1% Yes
Zimmer Continuum BiometStanmore Modular Stem
2 <1% Yes
Zimmer Continuum Smith & NephewSLR-Plus Cementless Stem
2 <1% Yes
Zimmer Continuum Waldemar Link MP Revision 2 <1% Yes
Zimmer Continuum ZimmerCLS Cementless Stem
2 <1% No
Zimmer FM IT Stryker Exeter V40 2 <1% Yes
Zimmer Low Profile Muller Zimmer CPT 2 <1% No
Zimmer Low Profile Muller Zimmer MS-30 2 <1% No
Zimmer Metasul-Muller Zimmer CPT 2 <1% No
ZimmerTrabecular Metal Cementless Cup
B Braun / Aesculap Excia-Cemented 2 <1% Yes
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Table 9(b) continued
Continued > Continued >
58 www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
ZimmerTrabecular Metal Cementless Cup
Joint Replacement Instrumentation Ltd
Furlong HAC Stem 2 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Smith & NephewPolarstem Cementless
2 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Waldemar Link SP II Cemented Stem 2 <1% Yes
ZimmerTrabecular Metal Natural Cup
Zimmer ZMR 2 <1% No
Zimmer Trilogy DePuy Reef 2 <1% Yes
Active Implants TribofitJoint Replacement Instrumentation Ltd
Furlong HAC Stem 1 <1% Yes
Amplitude Saturne Biomet Arcos Cone 1 <1% Yes
Amplitude Saturne Zimmer CPT 1 <1% Yes
B Braun / Aesculap Chirulen B Braun / AesculapPrevision Cemented Stem
1 <1% No
B Braun / Aesculap Chirulen ZimmerRevitan Cementless Stem
1 <1% Yes
B Braun / AesculapPlasmacup Cementless Cup
B Braun / Aesculap Centrament 1 <1% No
B Braun / AesculapPlasmacup Cementless Cup
B Braun / Aesculap Excia-Cemented 1 <1% No
B Braun / AesculapPlasmacup Cementless Cup
DePuy Reef 1 <1% Yes
B Braun / AesculapPlasmacup Cementless Cup
DePuy Trilock BPS 1 <1% Yes
Biomet Apollo Biomet Muller-Biomet 1 <1% No
Biomet Avantage BiometBimetric Cemented (CoCr)�
1 <1% No
Biomet Avantage DePuy Kar 1 <1% Yes
Biomet Avantage DePuy RECLAIM 1 <1% Yes
Biomet Avantage Cemented Cup DePuy Corail 1 <1% Yes
Biomet Avantage Cemented Cup DePuyC-Stem AMT Cemented Stem
1 <1% Yes
Biomet Avantage Cemented Cup DePuy RECLAIM 1 <1% Yes
Biomet Avantage Cemented CupStanmore Implants Worldwide
METS Cemented 1 <1% Yes
Biomet Exceed Waldemar Link MP Revision 1 <1% Yes
Biomet Exceed ABT Biomet Kent Hip 1 <1% No
Biomet Exceed ABT BiometStanmore Modular Stem
1 <1% No
Biomet Exceed ABT BiometTaperloc Cemented Stem
1 <1% No
Biomet Exceed ABT BiometTaperloc Complete Cementless Stem
1 <1% No
Biomet Exceed ABT Smith & NephewSLR-Plus Cementless Stem
1 <1% Yes
Biomet Exceed ABT Zimmer CPT 1 <1% Yes
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Table 9(b) continued
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National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
59www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Biomet Exceed ABT Cemented BiometStanmore Modular Stem
1 <1% No
Biomet Exceed ABT Cemented BiometTaperloc Complete Cementless Stem
1 <1% No
Biomet Exceed ABT Cemented Stryker Exeter V40 1 <1% Yes
Biomet Par-5 BiometTaperloc Complete Cementless Stem
1 <1% No
Biomet Par-5 Stryker Exeter V40 1 <1% Yes
Biomet Regenerex Revision BiometTaperloc Cementless Stem
1 <1% No
Biomet Regenerex Revision DePuy Kar 1 <1% Yes
Biomet Regenerex Revision StrykerRestoration Cementless Stem
1 <1% Yes
Biomet Regenerex Ringloc+ CorinTaperfit Cemented Stem
1 <1% Yes
Biomet Regenerex Ringloc+ DePuyC-Stem AMT Cemented Stem
1 <1% Yes
Biomet Regenerex Ringloc+ Implantcast GmbH Mutars 1 <1% Yes
Biomet Stanmore-Arcom Cup Biomet Conelock 1 <1% No
Biomet Stanmore-Arcom Cup BiometTaperloc Cemented Stem
1 <1% No
Biomet Stanmore-Arcom Cup Corin C Fit 1 <1% Yes
Biomet Stanmore-Arcom Cup DePuyC-Stem Cemented Stem
1 <1% Yes
Biomet Stanmore-Arcom CupJoint Replacement Instrumentation Ltd
Furlong Cemented Stem
1 <1% Yes
Biomet Stanmore-Arcom Cup Lima H-Max M 1 <1% Yes
Corin Cenator Cemented CupWright Medical UK Ltd
Profemur Cementless Stem
1 <1% Yes
Corin Trinity CorinTaperfit Cemented Stem
1 <1% No
Corin Trinity Peter Brehm GmbHPeter Brehm Revision Stem
1 <1% Yes
Corin Trinity Waldemar Link MP Revision 1 <1% Yes
Corin Trinity Waldemar Link SP II Cemented Stem 1 <1% Yes
DePuy Charnley Cemented Cup DePuyC-Stem Cemented Stem
1 <1% No
DePuy Charnley Ogee DePuyC-Stem Cemented Stem
1 <1% No
DePuy DeltaMotion DePuyS-Rom Cementless Stem
1 <1% No
DePuy Elite Plus Cemented Cup DePuy Charnley Modular 1 <1% No
DePuy Elite Plus Cemented Cup DePuyS-Rom Cementless Stem
1 <1% No
DePuy Elite Plus FlangedJoint Replacement Instrumentation Ltd
Furlong HAC Revision Stem
1 <1% Yes
DePuy Elite Plus Ogee Biomet Arcos 1 <1% Yes
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Table 9(b) continued
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Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
DePuy Elite Plus Ogee BiometStanmore Modular Stem
1 <1% Yes
DePuy Elite Plus Ogee BiometTaperloc Cemented Stem
1 <1% Yes
DePuy Elite Plus Ogee DePuy Charnley Modular 1 <1% No
DePuy Elite Plus Ogee DePuy Reef 1 <1% No
DePuy Elite Plus Ogee Lima Lima Revision Stem 1 <1% Yes
DePuy Elite Plus Ogee Smith & NephewEchelon Cementless Stem
1 <1% Yes
DePuy Elite Plus Ogee ZimmerRevitan Cementless Stem
1 <1% Yes
DePuy Gyros DePuy RECLAIM 1 <1% No
DePuy GyrosJoint Replacement Instrumentation Ltd
Furlong Cemented Hemiarthroplasty
1 <1% Yes
DePuy Gyros Stryker Exeter V40 1 <1% Yes
DePuy Gyros StrykerRestoration Cementless Stem
1 <1% Yes
DePuy Marathon Biomet Arcos Cone 1 <1% Yes
DePuy Marathon BiometTaperloc Complete Cementless Stem
1 <1% Yes
DePuy Marathon DePuy Reef 1 <1% No
DePuy Marathon Lima Lima Revision Stem 1 <1% Yes
DePuy Pinnacle ZimmerM/L Taper Cementless
1 <1% Yes
DePuy Pinnacle Zimmer MS-30 1 <1% Yes
DePuy Pinnacle ZimmerVersys Cementless Stem
1 <1% Yes
FH Orthopaedics Atlas IIIp ZimmerRevitan Cementless Stem
1 <1% Yes
Joint Replacement Instrumentation Ltd
CSFJoint Replacement Instrumentation Ltd
Furlong Cemented Stem
1 <1% No
Joint Replacement Instrumentation Ltd
CSFJoint Replacement Instrumentation Ltd
Furlong HAC Revision Stem
1 <1% No
Joint Replacement Instrumentation Ltd
CSF Lima Lima Revision Stem 1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus CorinOxford Universal Hip (Corin)� Cementless Stem
1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus DePuy Corail Cemented 1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF PlusJoint Replacement Instrumentation Ltd
Furlong Cemented Hemiarthroplasty
1 <1% No
Joint Replacement Instrumentation Ltd
CSF Plus Waldemar Link MP Revision 1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus Zimmer CPT 1 <1% Yes
Joint Replacement Instrumentation Ltd
CSF Plus Zimmer Muller Str Stem 1 <1% Yes
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Table 9(b) continued
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National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
61www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
matchJoint Replacement Instrumentation Ltd
CSF Plus Zimmer ZMR 1 <1% Yes
Joint Replacement Instrumentation Ltd
JRI Cemented CupJoint Replacement Instrumentation Ltd
Furlong Cemented Stem
1 <1% No
Lima Delta One TT B Braun / Aesculap Centrament 1 <1% Yes
Lima Delta One TT Biomet Reach 1 <1% Yes
Lima Delta One TT DePuy Charnley Modular 1 <1% Yes
Lima Delta One TT DePuy Trilock BPS 1 <1% Yes
Lima Delta One TT Stryker Accolade 1 <1% Yes
Lima Delta One TT Waldemar Link MP Revision 1 <1% Yes
Lima Delta One TT Waldemar LinkSP II Cemented Revision
1 <1% Yes
Lima Delta One TTWright Medical UK Ltd
Profemur Cementless Stem
1 <1% Yes
Lima Delta One TT Zimmer ZMR 1 <1% Yes
Lima Delta One TT ZimmerZMR Cementless Proximal Stem
1 <1% Yes
Lima Delta Revision TT Biomet Muller-Biomet 1 <1% Yes
Lima Delta Revision TT DePuyC-Stem Cemented Stem
1 <1% Yes
Lima Delta Revision TT Lima Modulus 1 <1% No
Lima Delta Revision TT StrykerRestoration Cemented Stem
1 <1% Yes
Lima Delta Revision TT StrykerRestoration Cementless Stem
1 <1% Yes
Lima Delta Revision TTWright Medical UK Ltd
Profemur Cementless Stem
1 <1% Yes
Lima Delta TT CorinOxford Universal Hip (Corin)� Cementless Stem
1 <1% Yes
Lima Delta TT DePuy Reef 1 <1% Yes
Lima Delta TT Lima Modulus 1 <1% No
Lima Delta TT Symbios SA SPS Modular 1 <1% Yes
Lima Delta TTWright Medical UK Ltd
Profemur Cementless Stem
1 <1% Yes
Lima Delta TT Zimmer GMRS Cementless 1 <1% Yes
Lima Delta TT Zimmer MS-30 1 <1% Yes
Mathys Orthopaedics Ltd
CCB MathysMathys Orthopaedics Ltd
CCA Cemented Stem 1 <1% No
Mathys Orthopaedics Ltd
RM Mathys DePuy Corail 1 <1% Yes
Mathys Orthopaedics Ltd
RM Mathys DePuy Kar 1 <1% Yes
Mathys Orthopaedics Ltd
RM Mathys StrykerRestoration Cementless Stem
1 <1% Yes
Medacta UK Ltd Versafit Medacta UK Ltd Quadra Cementless 1 <1% No
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Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
matchOrthodynamics Hilock Biomet Arcos Cone 1 <1% Yes
Orthodynamics Novae DePuySolution Cementless Stem
1 <1% Yes
Orthodynamics Novae OrthodynamicsCannulok Cementless Stem
1 <1% No
Orthodynamics Novae Zimmer ZMR 1 <1% Yes
Orthodynamics Novae Stick DePuyC-Stem AMT Cemented Stem
1 <1% Yes
Orthodynamics Novae Stick DePuySolution Cementless Stem
1 <1% Yes
Orthodynamics Novae StickJoint Replacement Instrumentation Ltd
Securus 1 <1% Yes
Orthodynamics Novae StickStanmore Implants Worldwide
METS Cemented 1 <1% Yes
Serf Dedienne sante
Sunfit Stryker Exeter V40 1 <1% Yes
Sheffield Medical Products Limited
Aeon Cemented CupSheffield Medical Products Limited
Aeon Cemented Stem
1 <1% No
Smith & Nephew BHR Resurfacing Cup Stryker Accolade 1 <1% Yes
Smith & Nephew EP-Fit Plus Smith & Nephew CPS Plus 1 <1% No
Smith & Nephew EP-Fit Plus Smith & NephewSL-Plus Cementless Stem
1 <1% No
Smith & Nephew EP-Fit Plus Waldemar Link MP Revision 1 <1% Yes
Smith & Nephew EPF-Plus Smith & NephewSL-Plus Cementless Stem
1 <1% No
Smith & Nephew EPF-Plus Stryker Exeter V40 1 <1% Yes
Smith & Nephew Opera DePuy Corail 1 <1% Yes
Smith & Nephew Opera StrykerRestoration Cementless Stem
1 <1% Yes
Smith & Nephew Polarcup Cementless Zimmer ZMR 1 <1% Yes
Smith & Nephew R3 Cementless DePuyC-Stem AMT Cemented Stem
1 <1% Yes
Smith & Nephew R3 Cementless Smith & Nephew CPCS 1 <1% No
Smith & Nephew R3 Cementless Stryker Accolade 1 <1% Yes
Smith & Nephew R3 Cementless Zimmer CPT 1 <1% Yes
Smith & Nephew Reflection Cemented DePuySolution Cementless Stem
1 <1% Yes
Stryker Contemporary DePuy Reef 1 <1% Yes
Stryker Contemporary Lima Lima Revision Stem 1 <1% Yes
Stryker Contemporary Stryker Accolade 1 <1% No
Stryker Contemporary StrykerOmnifit Cemented Stem
1 <1% No
Stryker Contemporary Zimmer ZMR 1 <1% Yes
Stryker Exeter Duration Waldemar Link MP Revision 1 <1% Yes
Stryker Exeter Rimfit CorinTaperfit Cemented Stem
1 <1% Yes
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Table 9(b) continued
Continued >
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63www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
matchStryker Exeter Rimfit Lima Lima Revision Stem 1 <1% Yes
Stryker Exeter Rimfit Smith & NephewPolarstem Cementless
1 <1% Yes
Stryker Exeter Rimfit Waldemar Link SP II Cemented Stem 1 <1% Yes
Stryker Exeter Rimfit Zimmer GMRS Cementless 1 <1% Yes
Stryker Restoration ADM Cup B Braun / Aesculap Excia-Cemented 1 <1% Yes
Stryker Restoration Gap2 DePuyS-Rom Cementless Stem
1 <1% Yes
Stryker Restoration Gap2 Zimmer ZMR 1 <1% Yes
StrykerSecure Fit Cementless Cup
BiometMallory-Head Cementless Stem
1 <1% Yes
StrykerSecure Fit Cementless Cup
Stryker GMRS 1 <1% No
Stryker Trident DePuyCharnley Cemented Stem
1 <1% Yes
Stryker Trident DePuyC-Stem Cemented Stem
1 <1% Yes
Stryker Trident DePuyS-Rom Cementless Stem
1 <1% Yes
Stryker Trident OrthodynamicsCannulok Cementless Stem
1 <1% Yes
Stryker Trident StrykerOmnifit Cementless Stem
1 <1% No
Stryker Trident StrykerRestoration Cemented Stem
1 <1% No
Stryker Trident Waldemar Link SP II Cemented Stem 1 <1% Yes
Stryker Trident ZimmerRevitan Cementless Stem
1 <1% Yes
Stryker Trident ZimmerVersys Cementless Stem
1 <1% Yes
Stryker Trident Zimmer ZMR 1 <1% Yes
Stryker Tritanium Biomet Arcos Cone 1 <1% Yes
Stryker Tritanium BiometStanmore Modular Stem
1 <1% Yes
Stryker TritaniumJoint Replacement Instrumentation Ltd
Furlong Cemented Stem
1 <1% Yes
Stryker Tritanium Smith & NephewSL-Plus Cementless Stem
1 <1% Yes
Stryker Tritanium Stryker GMRS 1 <1% No
Stryker Tritanium StrykerOmnifit Cemented Stem
1 <1% No
Stryker Tritanium StrykerOmnifit Cementless Stem
1 <1% No
Stryker Tritanium StrykerRestoration Cemented Stem
1 <1% No
Stryker Tritanium Waldemar Link MP Revision 1 <1% Yes
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Table 9(b) continued
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Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
Stryker Tritanium Waldemar LinkSP II Cemented Revision
1 <1% Yes
Stryker Tritanium Waldemar Link SP II Cemented Stem 1 <1% Yes
Stryker Tritanium Zimmer Muller Str Stem 1 <1% Yes
Stryker Tritanium ZimmerRevitan Cementless Stem
1 <1% Yes
Symbios SA April Symbios SA SPS Modular 1 <1% No
Waldemar Link Interplanta Waldemar Link SP II Cemented Stem 1 <1% No
Waldemar Link Snap Fit Waldemar Link MP Revision 1 <1% No
Wright Medical UK Ltd
Procotyl StrykerRestoration Cementless Stem
1 <1% Yes
Wright Medical UK Ltd
ProcotylWright Medical UK Ltd
Ancafit Cementless Stem
1 <1% No
Zimmer Allofit ZimmerCLS Cementless Stem
1 <1% No
Zimmer Allofit Zimmer MS-30 1 <1% No
Zimmer Continuum BiometTaperloc Cementless Stem
1 <1% Yes
Zimmer Continuum DePuyC-Stem AMT Cemented Stem
1 <1% Yes
Zimmer Continuum DePuy Trilock BPS 1 <1% Yes
Zimmer Continuum Smith & NephewSL-Plus Cementless Stem
1 <1% Yes
Zimmer Continuum Waldemar LinkSP II Cemented Revision
1 <1% Yes
Zimmer ContinuumWright Medical UK Ltd
Profemur Cementless Stem
1 <1% Yes
Zimmer Continuum Zimmer M/L Taper 1 <1% No
Zimmer FM ITJoint Replacement Instrumentation Ltd
Furlong HAC Stem 1 <1% Yes
Zimmer FM IT ZimmerRevitan Cementless Stem
1 <1% No
Zimmer Low Profile MullerJoint Replacement Instrumentation Ltd
Securus 1 <1% Yes
Zimmer Low Profile Muller Waldemar Link Mega C stem 1 <1% Yes
Zimmer Low Profile Muller Waldemar Link MP Revision 1 <1% Yes
Zimmer Low Profile Muller Zimmer P10 Muller 1 <1% No
ZimmerTrabecular Metal Cementless Cup
BiometBimetric Cemented (Ti)�
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
BiometStanmore Modular Stem
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Corin C Fit 1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
DePuyElite Plus Cemented Stem
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
DePuy LPS 1 <1% Yes
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Table 9(b) continued
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65www.njrcentre.org.uk
Cup manufacturer Cup brand Stem manufacturer Stem brand Number of procedures %
Mix and
match
ZimmerTrabecular Metal Cementless Cup
DePuy Trilock BPS 1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Joint Replacement Instrumentation Ltd
Furlong HAC Revision Stem
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Lima H-Max M 1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Smith & NephewSL-Plus Cementless Stem
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Smith & Nephew Spectron 1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Smith & NephewSynergy Cementless Stem
1 <1% Yes
ZimmerTrabecular Metal Cementless Cup
Zimmer MS-30 1 <1% No
ZimmerTrabecular Metal Natural Cup
Corin Metafix Stem 1 <1% Yes
ZimmerTrabecular Metal Natural Cup
Corin miniHip 1 <1% Yes
ZimmerTrabecular Metal Natural Cup
DePuy RECLAIM 1 <1% Yes
Zimmer Trilogy OrthodynamicsCannulok Cementless Stem
1 <1% Yes
Zimmer Trilogy IT DePuy Corail 1 <1% Yes
Zimmer Trilogy IT Zimmer VerSys Heritage 1 <1% No
Zimmer Zimmer Cemented Cup Stryker Exeter V40 1 <1% Yes
Zimmer Zimmer Cemented Cup Zimmer Muller Str Stem 1 <1% No
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Table 9(b) continued
1.4 Summary
The total number of brands of acetabular cups and femoral stems used in procedures recorded in the NJR has increased significantly since its inception. There were 101 brands of acetabular cup (excluding resurfacing cups)� used in 2012, a decrease from 2011 when 127 brands were used. There were 146 brands of femoral stem used in 2012, also a decrease from 2011 (162)�. In addition to conventional hip resurfacing procedures, there were 35 procedures
entered into the NJR where a resurfacing cup was used in conjunction with a large diameter modular head and a conventional modular stem, compared with 217 in 2011. Material selection for femoral heads used between 2003 and 2007 remained constant (76% metal and 24% ceramic)�, however, since 2008 there has been an increase in the use of ceramic heads (61% metal and 39% ceramic in 2012)�. There has been a decrease in the use of very large sizes of femoral heads (greater than 36mm)�.
Continued >
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This section reports the numbers of prostheses implanted between 1 January and 31 December 2012 and entered into the NJR by 28 February 2013.
The procedure counts in this section of the report may vary to the procedure counts in Part Two of the Annual Report. This section counts only those procedures where the implants being described have been used. Therefore, if a procedure has been submitted with missing implant information this will cause a mismatch with Part Two.
2.1 Prostheses entered into the NJR
62 brands of total condylar knee prostheses were used in primary procedures and 40 used in revision procedures. In addition, there were 19 brands of unicondylar prostheses, 7 brands of patello-femoral replacements and 15 brands of hinged knees. The number of brands for each prosthesis type has increased for total condylar and unicondylar compared to 2011.
Tables 10(a)� and 10(b)� show the brands of primary and revision total condylar knee replacement prosthesis recorded in NJR for 2012.
Table 10(a) Brands for total condylar knee primary procedures performed during 2012.
Manufacturer BrandNumber of
procedures %75,921
DePuy PFC Sigma Bicondylar Knee 27,613 36%
Zimmer Nexgen 11,788 16%
Stryker Triathlon 8,426 11%
Smith & Nephew Genesis 2 6,451 8%
Biomet Vanguard 6,337 8%
Biomet AGC 4,808 6%
DePuy LCS Complete 2,122 3%
Stryker Scorpio 2,103 3%
B Braun / Aesculap Columbus 995 1%
Smith & Nephew Genesis 2 Oxinium 853 1%
Wright Medical UK Ltd Advance MP 772 1%
MATOrtho Limited MRK 661 <1%
Endo Plus (UK)� Limited Endoplus Bicondylar Knee 408 <1%
B Braun / Aesculap E-Motion Bicondylar Knee 301 <1%
Exactech (UK)� Ltd Optetrak 285 <1%
Centerpulse Natural Knee II 246 <1%
Wright Medical UK Ltd AMP Stature 162 <1%
Corin Rotaglide 155 <1%
Smith & Nephew Legion 127 <1%
Smith & Nephew Journey Oxinium 125 <1%
Implantcast GmbH ACS 120 <1%
Finsbury MRK 116 <1%
Biomet Maxim 115 <1%
DePuy Attune CR 92 <1%
2 Prostheses used in knee procedures 2012
Continued >
National Joint Registry for England, Wales and Northern Ireland | 10th Annual Report
67www.njrcentre.org.uk
Manufacturer BrandNumber of
procedures %Smith & Nephew Profix 88 <1%
Medacta UK Ltd GMK 80 <1%
Mathys Orthopaedics Ltd Mathys Bicondylar Knee 78 <1%
Wright Medical UK Ltd Advance PS 75 <1%
Exactech (UK)� Ltd Logic 67 <1%
Zimmer Nexgen LCCK 53 <1%
Jointmedica Limited Joint Medica Bicondylar 37 <1%
Zimmer CR Flex 35 <1%
Biomet Alpina 33 <1%
Smith & Nephew Legion Oxinium 33 <1%
MATOrtho Limited Saiph 30 <1%
Zimmer LPS Knee 15 <1%
Stanmore Implants Worldwide Smiles Knee 14 <1%
DJO Surgical 3D 13 <1%
Smith & Nephew TC Plus 10 <1%
Finsbury Saiph 9 <1%
Euros Euros Bicondylar 8 <1%
Corin Unity 7 <1%
Wright Medical UK Ltd Insall-Burstein 2 7 <1%
ConforMIS iDuo G2 6 <1%
Smith & Nephew Profix Oxinium 6 <1%
Stanmore Implants Worldwide SMILES Bicondylar 6 <1%
DePuy Attune PS 4 <1%
Medacta UK Ltd Medacta Bicondylar 4 <1%
Implants International St Leger 3 <1%
Stryker NRG 3 <1%
Aequos Aequos G1 2 <1%
Corin Rotaglide + 2 <1%
Medacta UK Ltd sphere 2 <1%
Zimmer MBK 2 <1%
Biomet CKS 1 <1%
Corin AMC 1 <1%
DePuy LCS 1 <1%
MATOrtho Limited DBK 1 <1%
Sovereign Medical CCI 1 <1%
Stryker Kinemax 1 <1%
Wright Medical UK Ltd Advance CCK 1 <1%
Zimmer Natural Knee II 1 <1%
Table 10(a) continued
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Continued >
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Table 10(b) Brands for total condylar knee revision procedures performed during 2012.
Manufacturer BrandNumber of
procedures %3,261
DePuy PFC Sigma Bicondylar Knee 1,232 38%
Stryker Triathlon 344 11%
Zimmer Nexgen LCCK 316 10%
Smith & Nephew Legion Oxinium 248 8%
Biomet Vanguard 207 6%
Zimmer Nexgen 206 6%
Biomet AGC 179 5%
Smith & Nephew Genesis 2 124 4%
Biomet Maxim 84 3%
Stryker Scorpio 82 3%
Stanmore Implants Worldwide Smiles Knee 36 1%
Smith & Nephew Genesis 2 Oxinium 33 1%
MATOrtho Limited MRK 20 <1%
DePuy LCS Complete 17 <1%
Exactech (UK)� Ltd Optetrak 17 <1%
Smith & Nephew Legion 15 <1%
B Braun / Aesculap Columbus 13 <1%
Wright Medical UK Ltd Advance CCK 12 <1%
DePuy LPS Knee 11 <1%
Stanmore Implants Worldwide SMILES Bicondylar 10 <1%
Medacta UK Ltd GMK 7 <1%
Finsbury MRK 5 <1%
Smith & Nephew Profix 5 <1%
Corin Rotaglide 4 <1%
Wright Medical UK Ltd Advance MP 4 <1%
Wright Medical UK Ltd AMP Stature 4 <1%
B Braun / Aesculap E-Motion Bicondylar Knee 3 <1%
Centerpulse Natural Knee II 3 <1%
Endo Plus (UK)� Limited Endoplus Bicondylar Knee 3 <1%
Implantcast GmbH ACS 3 <1%
DePuy PFC Bicondylar Knee 2 <1%
DJO Surgical 3D 2 <1%
Euros Euros Bicondylar 2 <1%
Smith & Nephew Journey Oxinium 2 <1%
Corin Rotaglide + 1 <1%
Jointmedica Limited Joint Medica Bicondylar 1 <1%
Mathys Orthopaedics Ltd Mathys Bicondylar Knee 1 <1%
MATOrtho Limited Saiph 1 <1%
Smith & Nephew Profix Oxinium 1 <1%
Wright Medical UK Ltd Advance PS 1 <1%
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Table 11 Brands for primary and revision unicondylar knee replacement procedures performed during 2012.
Manufacturer BrandNumber of
procedures %7,101
Biomet Oxford Partial Knee 4,432 62%
Zimmer Zimmer Unicompartmental 1,069 15%
DePuy Sigma HP 964 14%
Corin AMC/Uniglide 319 4%
Stryker Triathlon Uni 113 2%
Smith & Nephew Genesis Uni Oxinium 44 <1%
Mathys Orthopaedics Ltd Mathys Unicondylar Knee 41 <1%
Waldemar Link Sled 28 <1%
Tornier Ukneetec 24 <1%
Smith & Nephew Journey Uni Oxinium 21 <1%
Exactech (UK)� Ltd Optetrak Unicondylar 13 <1%
Zimmer MG Uni 10 <1%
Smith & Nephew Genesis Uni 6 <1%
Endo Plus (UK)� Limited UC-Plus 4 <1%
Smith & Nephew iUni G2 4 <1%
Medacta UK Ltd GMK Uni 3 <1%
Tornier HLS Evolution 3 <1%
Euros Euros Unicondylar 2 <1%
ConforMIS iUni G2 1 <1%
Table 12 Brands for primary and revision patello-femoral joint replacement procedures performed during 2012.
Manufacturer BrandNumber of
procedures %1,222
Stryker Avon 392 32%
Zimmer Zimmer PFJ 248 20%
Wright Medical UK Ltd FPV 212 17%
DePuy Sigma HP 181 15%
Smith & Nephew Journey PFJ Oxinium 167 14%
Biomet Vanguard PF 20 2%
Wright Medical UK Ltd Evos 2 <1%
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Table 13 Fixed and rotating hinged knee brands for primary and revision knee procedures performed during 2012.
Manufacturer BrandNumber of
procedures %977
Waldemar Link Endo Rotating Hinge 253 26%
Zimmer Nexgen Hinge Type 170 17%
Stanmore Implants Worldwide Smiles Knee 126 13%
DePuy Noiles 125 13%
Stryker MRH 111 11%
Endo Plus (UK)� Limited RT-Plus 62 6%
Biomet RHK 61 6%
Zimmer Zimmer Segmental System 20 2%
Biomet OSS 12 1%
Biomet Stanmore Hinge 11 1%
Waldemar Link Endo Hinge 9 <1%
Smith & Nephew RT-Plus 8 <1%
B Braun / Aesculap EnduRo Hinge 5 <1%
Wright Medical UK Ltd Guardian Hinged/Linked Knee 3 <1%
Implantcast GmbH Mutars Mom 1 <1%
Table 14 Tibial insert type for primary and revision knee procedures performed during 2012.
ConstraintNumber of
procedures %80,194
Constrained condylar 1,955 2%
Posterior stabilised, fixed 18,842 23%
Unconstrained, fixed 54,274 68%
Posterior stabilised, mobile 1,171 1%
Unconstrained, mobile 3,952 5%
2.2 Usage of fixed versus mobile bearing tibial inserts
Total condylar knee arthroplasties involving tibial inserts predominantly used fixed bearing inserts as shown in Table 14.,
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Table 15(a) Brands for primary ankle procedures performed in 2012.
Table 15(b) Brands for revision ankle procedures performed in 2012.
Manufacturer BrandNumber of
procedures %535
DePuy Mobility 274 51%
Corin Zenith 108 20%
Finsbury Box 45 8%
Tornier Salto 37 7%
Integra Hintegra 27 5%
Sbi Star 27 5%
Biomet Rebalance 14 3%
Wright Medical UK Ltd Inbone 2 <1%
Implantcast GmbH Taric 1 <1%
Manufacturer BrandNumber of
procedures %14
DePuy Mobility 10 71%
Corin Zenith 3 21%
Integra Hintegra 1 7%
This section reports the numbers of prostheses implanted between 1 January and 31 December 2012 and entered into the NJR by 28 February 2013.
3 Prostheses used in ankle procedures 2012
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Table 16 Humeral elbow brands for primary and revision procedures performed in 2012.
Table 17 Elbow radial head brands for primary and revision procedures performed in 2012.
Manufacturer BrandNumber of
procedures %273
Zimmer Coonrad Morrey 122 45%
Biomet Discovery 66 24%
Biomet Discovery one piece elbow 46 17%
Tornier Latitude Humeral 24 9%
Zimmer GSB 111 8 3%
Biomet IBP 3 1%
Biomet K Elbow 2 <1%
Biomet LRE 2 <1%
Manufacturer BrandNumber of
procedures %23
Acumed Anatomic Radial Head 9 39%
Biomet ExploR 4 17%
Wright Medical UK Ltd evolve 4 17%
Corin Corin radial head 2 9%
Sbi rHead 2 9%
Tornier RHS 2 9%
This section reports the numbers of prostheses implanted between 1 April and 31 December 2012 and entered into the NJR by 28 February 2013.
4 Prostheses used in elbow procedures 2012
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Table 18(a) Shoulder brands for primary shoulder resurfacing procedures performed in 2012.
Table 18(b) Shoulder brands for revision shoulder resurfacing procedures performed in 2012.
Manufacturer BrandNumber of
procedures %1,062
Biomet Copeland 291 27%
Tornier Aequalis head 143 13%
DePuy Global AP 128 12%
DePuy Global Advantage humeral head 125 12%
Mathys Orthopaedics Ltd Affinis 97 9%
DePuy Global CAP 94 9%
Synthes EPOCA Resurfacing 51 5%
Lima Lima SMR head 39 4%
Biomet TESS Head 24 2%
Joint Replacement Instrumentation Ltd Vaios Head 22 2%
DePuy Global 15 1%
Corin Oxford humeral head 12 1%
FH Orthopaedics Arrow Resurfacing Head 9 <1%
Zimmer Sidus 6 <1%
Tornier Ascend Humeral head 4 <1%
DePuy Global Unite head 2 <1%
Manufacturer BrandNumber of
procedures %43
DePuy Global Advantage humeral head 11 26%
Tornier Aequalis head 10 23%
DePuy Global AP 7 16%
Lima Lima SMR head 5 12%
Mathys Orthopaedics Ltd Affinis 4 9%
Biomet Copeland 3 7%
Biomet TESS Head 2 5%
Tornier Affinity humeral head 1 2%
This section reports the numbers of prostheses implanted between 1 April and 31 December 2012 and entered into the NJR by 28 February 2013.
5 Prostheses used in shoulder procedures 2012
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Table 19(a) Shoulder humeral stem brands for primary shoulder procedures performed in 2012.
Manufacturer BrandNumber of
procedures %1,325
DePuy Delta Xtend 285 22%
Tornier Aequalis stem 141 11%
DePuy Global AP humeral stem 133 10%
Exactech (UK)� Ltd Equinoxe 127 10%
Mathys Orthopaedics Ltd Affinis stem 123 9%
DePuy Global Advantage Stem 111 8%
Synthes EPOCA 68 5%
Zimmer anatomical shoulder 62 5%
Lima Lima SMR stem 54 4%
Biomet Comprehensive 52 4%
Joint Replacement Instrumentation Ltd Vaios stem 44 3%
Tornier SIMPLICITI 25 2%
FH Orthopaedics Arrow 16 1%
Biomet TESS 14 1%
DePuy Global FX 13 1%
Corin Oxford Modular 12 <1%
Zimmer B/F 10 <1%
Zimmer TM reverse 8 <1%
Biomet Biomodular shoulder 5 <1%
DJO Surgical RSP 5 <1%
Tornier Ascend 5 <1%
Biomet VERSO 4 <1%
DePuy Global Unite 3 <1%
Biomet Mosaic 2 <1%
Acumed POLARUS 1 <1%
Biomet Nottingham 1 <1%
Smith & Nephew PROMOS 1 <1%
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Table 19(b) Shoulder humeral stem brands for revision shoulder procedures performed in 2012.
Manufacturer BrandNumber of
procedures %131
DePuy Delta Xtend 31 24%
Tornier Aequalis stem 19 15%
Exactech (UK)� Ltd Equinoxe 16 12%
Joint Replacement Instrumentation Ltd Vaios stem 13 10%
Biomet Comprehensive 9 7%
Lima Lima SMR stem 7 5%
DePuy Global Advantage Stem 6 5%
DePuy Global AP humeral stem 6 5%
Synthes EPOCA 6 5%
Mathys Orthopaedics Ltd Affinis stem 5 4%
Zimmer anatomical shoulder 5 4%
FH Orthopaedics Arrow 2 2%
Tornier SIMPLICITI 2 2%
Biomet Biomodular shoulder 1 <1%
Biomet Nottingham 1 <1%
Biomet VERSO 1 <1%
Zimmer B/F 1 <1%
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The majority of procedures involving cement used antibiotic-loaded rather than non-antibiotic cement. 88% of hip procedures and 96% of knee procedures and all ankle procedures using cement used antibiotic-loaded cements. The brands of all cements used in hip (Table 21a)�, knee (Table 21b)�, ankle procedures (Table 21c)�, elbow (Table 21d)� and shoulders (Table 21e)�, are shown below.
The total number of procedures shown in Table 20 may differ to those in Tables 21(a)�–(e)�. In Tables 21(a)�–(e)� if a procedure has used more than one manufacturer or brand of cement a procedure will be counted for each manufacturer or brand of cement used.
6 Cement use 2012
Table 20 Type of cement used in hip, knee, ankle, elbow and shoulder replacement procedures performed in 2012.
Joint Cement TypeNumber of
procedures %133,480
Ankle 6
Ankle Antibiotic-loaded high viscosity 6 100%
Elbow 244
Elbow Antibiotic-loaded high viscosity 155 64%
Elbow Antibiotic-loaded medium viscosity 37 15%
Elbow Antibiotic-loaded low viscosity 15 6%
Elbow Medium viscosity 35 14%
Elbow Low viscosity 2 1%
Hip 47,615
Hip Antibiotic-loaded high viscosity 37,497 79%
Hip Antibiotic-loaded medium viscosity 4,711 10%
Hip Antibiotic-loaded low viscosity 509 1%
Hip High viscosity 1,106 2%
Hip Medium viscosity 3,787 8%
Hip Low viscosity 5 <1%
Knee 84,741
Knee Antibiotic-loaded high viscosity 80,467 95%
Knee Antibiotic-loaded medium viscosity 2,516 3%
Knee Antibiotic-loaded low viscosity 21 <1%
Knee High viscosity 494 <1%
Knee Medium viscosity 1,242 1%
Knee Low viscosity 1 <1%
Shoulder 874
Shoulder Antibiotic-loaded high viscosity 818 94%
Shoulder Antibiotic-loaded medium viscosity 16 2%
Shoulder Antibiotic-loaded low viscosity 2 <1%
Shoulder High viscosity 12 1%
Shoulder Medium viscosity 26 3%
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Table 21(a) Brands of cement used in hip procedures performed in 2012.
Manufacturer Brand Cement type
Number of procedures using brand %
50,062Heraeus Medical Palacos Antibiotic Antibiotic-loaded high viscosity 29,095 58%
Biomet Biomet Refobacin Antibiotic-loaded high viscosity 4,117 8%
Stryker Simplex AntibioticAntibiotic-loaded medium viscosity
4,076 8%
DePuy CMW2 Antibiotic Loaded Cement Antibiotic-loaded high viscosity 3,794 8%
Stryker Simplex Antibiotic Medium viscosity 3,001 6%
DePuy CMW1 Antibiotic Loaded Cement Antibiotic-loaded high viscosity 1,789 4%
DePuySmartset HV Antibiotic Loaded Cement
Antibiotic-loaded high viscosity 859 2%
DePuy CMW2 Plain Cement High viscosity 819 2%
Stryker Simplex Medium viscosity 785 2%
Heraeus Medical Palacos Antibiotic Antibiotic-loaded low viscosity 496 <1%
DePuy CMW3 Antibiotic Loaded CementAntibiotic-loaded medium viscosity
268 <1%
Heraeus Medical Copal Antibiotic LoadedAntibiotic-loaded medium viscosity
209 <1%
Biomet Copal Antibiotic Loaded Antibiotic-loaded high viscosity 133 <1%
Heraeus Medical Palacos High viscosity 124 <1%
Biomet Palacos High viscosity 85 <1%
Heraeus Medical Palacos AntibioticAntibiotic-loaded medium viscosity
85 <1%
DePuySmartset Endurance Antibiotic Loaded Cement
Antibiotic-loaded medium viscosity
71 <1%
Biomet Biomet Refobacin Revision Antibiotic-loaded high viscosity 70 <1%
DePuy CMW1 Plain Cement High viscosity 56 <1%
Biomet Biomet Refobacin Plus Antibiotic-loaded high viscosity 28 <1%
Heraeus Medical Palamed Antibiotic Antibiotic-loaded high viscosity 28 <1%
DePuy Smartset HV Plain Cement High viscosity 19 <1%
Tecres Medical VancogenX High viscosity 14 <1%
Biomet Osteopal Antibiotic Antibiotic-loaded low viscosity 13 <1%
Heraeus Medical Copal High viscosity 12 <1%
Heraeus Medical Palacos Low viscosity 5 <1%
Smith & Nephew Versabond AB Antibiotic-loaded high viscosity 3 <1%
DePuy CMW3 Plain Cement Medium viscosity 2 <1%
Heraeus Medical PalacosAntibiotic-loaded medium viscosity
2 <1%
Heraeus Medical Palamed AntibioticAntibiotic-loaded medium viscosity
2 <1%
Heraeus Medical Palacos Medium viscosity 1 <1%
Schering-Plough Palacos Antibiotic Antibiotic-loaded high viscosity 1 <1%
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Table 21(b) Brands of cement used in knee procedures performed in 2012.
Table 21(c) Brands of cement used in ankle procedures performed in 2012.
Manufacturer Brand Cement type
Number of procedures using brand %
84,980Heraeus Medical Palacos Antibiotic Antibiotic-loaded high viscosity 61,905 73%
Biomet Biomet Refobacin Antibiotic-loaded high viscosity 10,307 12%
DePuySmartset HV Antibiotic Loaded Cement
Antibiotic-loaded high viscosity 3,456 4%
DePuy CMW1 Antibiotic Loaded Cement Antibiotic-loaded high viscosity 3,036 4%
Stryker Simplex Antibiotic Antibiotic-loaded medium viscosity 2,236 3%
DePuy CMW2 Antibiotic Loaded Cement Antibiotic-loaded high viscosity 1,576 2%
Stryker Simplex Antibiotic Medium viscosity 1,086 1%
Heraeus Medical Palacos High viscosity 217 <1%
Biomet Copal Antibiotic Loaded Antibiotic-loaded high viscosity 190 <1%
Heraeus Medical Copal Antibiotic Loaded Antibiotic-loaded medium viscosity 161 <1%
Stryker Simplex Medium viscosity 154 <1%
Biomet Biomet Refobacin Revision Antibiotic-loaded high viscosity 135 <1%
Biomet Palacos High viscosity 105 <1%
DePuy CMW2 Plain Cement High viscosity 98 <1%
Heraeus Medical Palacos Antibiotic Antibiotic-loaded medium viscosity 96 <1%
Biomet Biomet Refobacin Plus Antibiotic-loaded high viscosity 63 <1%
DePuy Smartset HV Plain Cement High viscosity 36 <1%
Heraeus Medical Palamed Antibiotic Antibiotic-loaded high viscosity 34 <1%
DePuy CMW1 Plain Cement High viscosity 31 <1%
Heraeus Medical Palacos Antibiotic Antibiotic-loaded low viscosity 21 <1%
DePuy CMW3 Antibiotic Loaded Cement Antibiotic-loaded medium viscosity 13 <1%
Heraeus Medical Palamed Antibiotic Antibiotic-loaded medium viscosity 7 <1%
Tecres Medical VancogenX High viscosity 5 <1%
DePuyCMW2000 Antibiotic Loaded Cement
Antibiotic-loaded high viscosity 3 <1%
DePuySmartset Endurance Antibiotic Loaded Cement
Antibiotic-loaded medium viscosity 2 <1%
Heraeus Medical Palacos Antibiotic-loaded medium viscosity 2 <1%
Heraeus Medical Palacos Medium viscosity 2 <1%
Biomet Biomet Refobacin Plus High viscosity 1 <1%
Heraeus Medical Copal High viscosity 1 <1%
Heraeus Medical Palacos Low viscosity 1 <1%
Manufacturer Brand Cement type
Number of procedures using brand %
6Heraeus Medical Palacos Antibiotic Antibiotic-loaded high viscosity 5 83%
Biomet Biomet Refobacin Antibiotic-loaded high viscosity 1 17%
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Table 21(d) Brands of cement used in elbow procedures performed in 2012.
Table 21(e) Brands of cement used in shoulder procedures performed in 2012.
Manufacturer Brand Cement type
Number of procedures using brand %
244Heraeus Medical Palacos Antibiotic Antibiotic-loaded high viscosity 99 41%
Biomet Biomet Refobacin Antibiotic-loaded high viscosity 37 15%
Stryker Simplex Antibiotic Medium viscosity 29 12%
Stryker Simplex AntibioticAntibiotic-loaded medium viscosity
15 6%
Heraeus Medical Palacos Antibiotic Antibiotic-loaded low viscosity 14 6%
Heraeus Medical Palacos AntibioticAntibiotic-loaded medium viscosity
13 5%
DePuy CMW1 Antibiotic Loaded Cement Antibiotic-loaded high viscosity 11 5%
Stryker Simplex Medium viscosity 6 2%
DePuySmartset HV Antibiotic Loaded Cement
Antibiotic-loaded high viscosity 5 2%
DePuy CMW3 Antibiotic Loaded CementAntibiotic-loaded medium viscosity
4 2%
Heraeus Medical Copal Antibiotic LoadedAntibiotic-loaded medium viscosity
3 1%
DePuy CMW2 Antibiotic Loaded Cement Antibiotic-loaded high viscosity 2 <1%
DePuySmartset Endurance Antibiotic Loaded Cement
Antibiotic-loaded medium viscosity
2 <1%
Heraeus Medical Palacos Low viscosity 2 <1%
Biomet Osteopal Antibiotic Antibiotic-loaded low viscosity 1 <1%
Heraeus Medical Palamed Antibiotic Antibiotic-loaded high viscosity 1 <1%
Manufacturer Brand Cement type
Number of procedures using brand %
877Heraeus Medical Palacos Antibiotic Antibiotic-loaded high viscosity 569 65%
Biomet Biomet Refobacin Antibiotic-loaded high viscosity 184 21%
DePuy CMW1 Antibiotic Loaded Cement Antibiotic-loaded high viscosity 36 4%
Stryker Simplex Antibiotic Medium viscosity 26 3%
DePuy CMW2 Antibiotic Loaded Cement Antibiotic-loaded high viscosity 17 2%
Stryker Simplex Antibiotic Antibiotic-loaded medium viscosity 14 2%
DePuySmartset HV Antibiotic Loaded Cement
Antibiotic-loaded high viscosity 13 1%
DePuy CMW2 Plain Cement High viscosity 7 <1%
Biomet Palacos High viscosity 4 <1%
Biomet Copal Antibiotic Loaded Antibiotic-loaded high viscosity 2 <1%
Heraeus Medical Palacos Antibiotic Antibiotic-loaded low viscosity 2 <1%
DePuy CMW1 Plain Cement High viscosity 1 <1%
DePuySmartset Endurance Antibiotic Loaded Cement
Antibiotic-loaded medium viscosity 1 <1%
Heraeus Medical Copal Antibiotic Loaded Antibiotic-loaded medium viscosity 1 <1%
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7 Bone substitute use 2012Tables 22(a)�, 22(b)�, 22(c)�, 22(d)� and 22(e)� report the brand usage of bone substitute used in hip, knee, ankle, elbow and shoulder replacement procedures
during 2012. The vast majority of bone substitute is used in hip procedures.
Table 22(a) Brands of synthetic bone substitute used in hip procedures during 2012.
Manufacturer BrandNumber of
procedures %468
Synthes DBX 140 30%
DePuy Grafton 60 13%
Endo Plus (UK)� Limited Endoplus Bone Substitute 56 12%
Stryker Bonesave 47 10%
Finceramica Regenoss 40 9%
ApaTech Products Actifuse 25 5%
FH Orthopaedics Surgicraft 19 4%
Exactech (UK)� Ltd Opteform 18 4%
Osteotech Grafton 15 3%
Wright Medical UK Ltd Osteoset 14 3%
Quadrant Medical Ltd Vitoss 6 1%
ApaTech Products Apatech Bone Substitute 5 1%
Corin Biofuse 5 1%
Joint Replacement Instrumentation Ltd Repros 5 1%
Biocomposites Biocomposites 3 <1%
Finceramica Engipore 3 <1%
Synthes Chronos TCP 3 <1%
Finceramica Sintlife 2 <1%
Synthes Synthes Bone Substitute 2 <1%
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Table 22(c) Brands of synthetic bone substitute used in ankle procedures during 2012.
Table 22(d) Brands of synthetic bone substitute used in elbow procedures during 2012.
Manufacturer BrandNumber of
procedures %2
Synthes DBX 1 50%Wright Medical UK Ltd Osteoset 1 50%
Manufacturer BrandNumber of
procedures %3
ApaTech Products Actifuse 1 33%Osteotech Orthoblend 1 33%Wright Medical UK Ltd Osteoset 1 33%
Table 22(b) Brands of synthetic bone substitute used in knee procedures during 2012.
Table 22(e) Brands of synthetic bone substitute used in shoulder procedures during 2012.
Manufacturer BrandNumber of
procedures %18
Endo Plus (UK)� Limited Endoplus Bone Substitute 5 28%
ApaTech Products Actifuse 2 11%
Finceramica Engipore 2 11%
Stryker Bonesave 2 11%
Wright Medical UK Ltd Osteoset 2 11%
Biocomposites Biocomposites 1 6%
Exactech (UK)� Ltd Opteform 1 6%
Joint Replacement Instrumentation Ltd Repros 1 6%
Quadrant Medical Ltd Vitoss 1 6%
Synthes DBX 1 6%
Manufacturer BrandNumber of
procedures %7
ApaTech Products Actifuse 3 43%
DePuy Grafton 1 14%
Joint Replacement Instrumentation Ltd Repros 1 14%
Synthes Chronos TCP 1 14%
Synthes DBX 1 14%
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